Will Tonsils Regrow After Tonsillectomy? Your ENT Concerns - Otolaryngology

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Is it true that after a tonsillectomy, the tonsils will not grow back? (Forwarded from the Director's mailbox)


Because I have sleep apnea, I went to see a doctor at Chang Gung Hospital regarding my tonsils yesterday.
I asked him if there was any enlargement or hypertrophy of the tonsils, and he replied that there was some.
Then I mentioned to the doctor that I had my tonsils removed at Chi Mei Hospital a year or two ago.
The doctor then said, "No wonder I didn't see much of your tonsils..." It was quite frustrating to hear such contradictory statements.
After that, the doctor suggested that I undergo radiofrequency ablation.
What is that?

Mr. Awei, 20~29 year old female. Ask Date: 2011/02/09

Dr. Hu Kexin reply Otolaryngology


Hello: In response to your question, there are various treatment options for obstructive sleep apnea, and radiofrequency surgery is one of them.
The choice of treatment method should be determined based on the clinical situation.

Reply Date: 2011/02/09

More Info


Tonsillectomy, the surgical removal of the tonsils, is a common procedure often performed to treat recurrent tonsillitis or obstructive sleep apnea. One of the concerns that patients may have after undergoing this surgery is whether the tonsils can regrow.
To address your question directly: once the tonsils are surgically removed, they do not regrow. The tonsils are lymphoid tissues located at the back of the throat, and during a tonsillectomy, the surgeon removes these tissues completely. In rare cases, small remnants of tonsil tissue may be left behind, which can sometimes become enlarged, but this is not the same as the tonsils regrowing.
The confusion you experienced with your ENT doctor may stem from the fact that some patients may have residual lymphoid tissue in the throat, which can sometimes be mistaken for tonsils. This tissue can become inflamed or enlarged due to infections or other conditions, leading to symptoms similar to those caused by enlarged tonsils.
Regarding your specific situation with sleep apnea, enlarged tonsils can contribute to airway obstruction during sleep. If your doctor noted that you had some enlargement, it could be related to other lymphoid tissues in the area, such as the adenoids, which are located behind the nose and can also obstruct airflow.
As for the recommendation of a "wireless radio wave surgery," this likely refers to a minimally invasive procedure that uses radiofrequency energy to reduce the size of the remaining lymphoid tissues or to address other issues related to your airway. This type of surgery is often used to treat conditions like sleep apnea or chronic throat issues without the need for a full tonsillectomy.

In summary, after a tonsillectomy, the tonsils do not regrow, but residual lymphoid tissue can sometimes cause similar symptoms. If you have concerns about your throat or sleep apnea, it’s essential to communicate openly with your ENT specialist. They can provide clarity on your condition and the best treatment options available.
Additionally, it’s important to follow up with your healthcare provider if you experience any new symptoms or if your current symptoms persist. They can perform necessary examinations, such as imaging studies, to assess the condition of your throat and airway. Understanding the anatomy and function of the tonsils and surrounding tissues can help alleviate concerns and guide effective treatment strategies for conditions like sleep apnea.

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