Lingual tonsillectomy-various aspects-
A lingual tonsillectomy is a surgical operation aimed at removing excessive tissue or decreasing the size of the tongue to enhance breathing during sleep. It is carried out inside the mouth, with no external cuts required.
A lingual tonsillectomy is utilized to address:-
Obstructive sleep apnea-
Lingual tonsil hypertrophy can result in obstructive sleep apnea, and a lingual tonsillectomy can provide assistance.
In case if you are suffering from obstructive sleep apnoea ,you need to consult a qualified and experienced ENT specialist doctor or a Chest physician/Pulmonologist.
Briefly speaking if a patient of obstructive sleep apnoea is suffering from overweight ,he is advised to reduce his weight ,his sinus problems ,deviated nasal septum problems are evaluated ,only if he is symptomatic his CTSCAN-PNS is done, history of smoking ,tabaco consumption is evaluated ,his direct laryngoscopy is done. A test called video MRI is done when the patient is in state of sound sleep- which directly indicates the site of obstruction.
Lingual tonsillitis-
Lingual tonsillectomy serves as a remedy for inflammatory lesions of the lingual tonsil, but it is infrequently executed due to the low incidence of diagnosed lingual tonsillitis.
During the operation, a Lindholm laryngoscope is utilized to reveal the base of the tongue, and a CO2 laser or suction debrider is employed to ablate the lingual tonsils.
Post-surgery, you can anticipate remaining in the hospital for 1–2 days. You will need to ensure that you can breathe freely, experience no bleeding, and consume adequate fluids. It is advisable to have someone stay with you for safety at home on the first night.
Following the procedure, you may notice a suture in your mouth, but it will dissolve over the course of two weeks. There will be no need for any particular wound care.
A lingual tonsillectomy has minimal impact on your voice since the front part of your tongue remains functional for speech.
a remedy for inflammatory lesions of the lingual tonsil –
Lingual tonsillectomy is a surgical intervention that is rarely performed as lingual tonsillitis is seldom diagnosed.
Lingual tonsillectomy is a surgical procedure that is rarely conducted since lingual tonsillitis is not commonly identified. We have examined a cohort of patients suffering from lingual tonsillitis or lingual tonsil hyperplasia who underwent lingual tonsillectomy. The discussion covers lingual tonsil lesions, the anatomy and histology of the lingual tonsil, and the surgical methods utilized for lingual tonsillectomy.
The posterior part of the tongue also has lymphoid tissue (tonsils) which, when swollen, can obstruct airflow. The surgical excision of tongue base tissue results in an enhancement of the airway volume in the region located behind the tongue.
Genioglossus Advancement
A surgical operation where the muscle of the tongue connected to the lower jaw is moved forward, creating a firmer and less collapsible tongue during sleeping. In this operation, a small opening in the bone is created in the lower jaw, and the segment of bone along with the tongue‘s attachment is pulled forward and secured by a small screw or a plate on the outer surface of the bone.
Is lingual tonsillectomy dangerous ?
Lingual tonsillectomy is a secure and established technique to decrease the size of enlarged lingual tonsils. Complications are quite uncommon .In case there is bleeding in hospital post-op it can be controlled by the operating ENT surgeon .
Lingual tonsillectomy vs tonsillectomy-FOR THIS PL CLICK ON THE LINK GIVEN BELOW-FOR TONSILLECTOMY IN GREAT DETAIL-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION .
If you are suffering from obstructive sleep apnoea and require consultation from ENT specialist doctor ,pl click on the link given below-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION .
www.entspecialistinnashik.com
Tonsillectomy is frequently accompanied by adenoidectomy surgery in paediatric population ,for DETAILS OF ADENOIDECTOMY SURGERY PL CLICK ON THE LINK GIVEN BELOW-It is always better to view links from laptop/desktop rather than mobile phone as they may not be seen from mobile phone. ,in case of technical difficulties you need to copy paste this link in google search. In case if you are viewing this blog from mobile phone you need to click on the three dots on the right upper corner of your mobile screen and ENABLE DESKTOP VERSION .
Obstructive sleep apnea
Obstructive sleep apnea is the most prevalent sleep-related breathing disorder. Individuals with obstructive sleep apnea frequently cease and resume breathing while they are asleep.
There are various forms of sleep apnea. Obstructive sleep apnea takes place when the muscles in the throat relax and obstruct the airway. This occurs intermittently many times throughout sleep. A symptom of obstructive sleep apnea is snoring.
There are treatments available for obstructive sleep apnea. One treatment involves a device that applies positive pressure to maintain the airway open during slumber. Another alternative is a mouthpiece that pushes the lower jaw forward while sleeping. For some individuals, surgery might also be a viable option.
Obstructive sleep apnea is a disorder in which sleep is disrupted by irregular breathing. In sleep apnea, the flow of air is hindered due to the airway obstructing it. These disruptions last for more than 10 seconds and occur at least 5 times per hour during your sleep duration.
Genioglossus advancement
Genioglossus advancement is significant in the toolkit of the obstructive sleep apnea surgeon and has evolved through numerous variations over the years. A newly articulated method involves performing a box osteotomy, which extends along the lower edge of the mandible to enhance the activation of the suprahyoid muscles. Here we present an additional refinement of the procedure that utilizes virtual planning to enhance the safety and precision of genial tubercle retrieval. Furthermore, the angling of the lateral osteotomies improves the contact between bone surfaces. Prior to the osteotomy, the surgeon can drill into the buccal plate to lessen the chin’s profile. This technique is especially beneficial for patients who are prognathic initially or those who become prognathic following simultaneous maxillomandibular advancement. Here we explore this distinctive method, illustrating how the patient’s profile may be harmonized even as the genial tubercle is advanced.
Moderate to severe obstructive sleep apnea (OSA) is extremely prevalent, impacting an estimated 425 million adults. Although positive airway pressure is the primary treatment, many are unable to tolerate positive airway pressure and consider surgical options such as genioglossus muscle advancement (GA). This surgery involves advancing the genioglossus muscle, enhancing tension at the base of the tongue, and reducing the likelihood of tongue prolapse into the airway during sleep. A recent meta-analysis of GA for the treatment of OSA discovered that this surgery alone can lead to a reduction in apnea-hypopnea index by an average of 41. 7%.
Various methods of GA have been documented, including the rectangular osteotomy, trapezoid osteotomy, elliptical window GA, trephine osteotomy, and mortized genioplasty. The range of techniques highlights the difficulty of predictably advancing the genial tubercle safely and reproducibly. Demian et al. described a rectangular osteotomy that reaches the inferior border of the mandible; after the bone flap is advanced, the osteotomy gap is filled with bone graft.
Here we outline a modified technique that involves en bloc advancement of the mandibular symphysis and capturing the genial tubercle through virtual planning. The genial tubercle is advanced without altering the chin profile. Alternatively, for patients who are prognathic, the chin profile is decreased, but the genial tubercle is advanced simultaneously.
