Chronic Tonsillitis Surgery Melbourne

Chronic tonsillitis surgery, commonly known as a tonsillectomy, is a medically focused procedure offered at Melbourne ENT, located in St Kilda East, Victoria. Led by Dr Simon Braham, FRACS, a highly experienced ENT and Head & Neck Surgeon, the clinic provides comprehensive care for patients suffering from recurrent throat infections, tonsil stones, bad breath or as part of the management of snoring. The surgery is designed for individuals who experience chronic inflammation of the tonsils that severely impacts their daily life, despite repeated courses of antibiotics or conservative management. This procedure addresses functional and health-related concerns, with the primary goal of improving long-term quality of life by eliminating frequent, painful episodes of tonsillitis and the risks associated with chronic infection.

What is Chronic Tonsillitis Surgery?

Chronic tonsillitis surgery, or tonsillectomy, involves the complete removal of the palatine tonsils – two oval-shaped pads of lymphatic tissue located on either side at the back of the throat. These glands are part of the immune system and help to trap bacteria and viruses. However, in some individuals, the tonsils themselves become a recurring source of infection, bad breath and inflammation.

When conservative treatments such as antibiotics and anti-inflammatory medications fail to provide lasting relief, or when the tonsils enlarge to the point of obstructing the airway or causing other complications, surgical removal becomes the recommended course of action. The procedure is functional, aiming to reduce the frequency and severity of infections, enhance breathing and swallowing, and prevent more serious complications. In some cases, particularly in children, a tonsillectomy is performed in conjunction with an adenoidectomy to further improve airway function and resolve sleep disturbances caused by airway obstruction.

Who Needs It (Candidates for Chronic Tonsillitis Surgery)

Chronic tonsillitis surgery is generally advised for individuals who have experienced multiple documented episodes of tonsillitis within a year, particularly when these infections do not respond well to medical treatment or result in prolonged illness. Patients often report ongoing throat discomfort, swollen lymph nodes, difficulty swallowing, persistent bad breath, tonsil stones and general fatigue associated with recurrent infections. In cases where the tonsils become significantly enlarged, they may obstruct breathing, particularly during sleep, contributing to sleep apnoea or other respiratory issues. Individuals suffering from complications such as peritonsillar abscesses, or those who develop antibiotic resistance, are strong candidates for surgery. Children, teenagers, and adults alike can undergo this procedure, though the reasons and recovery may differ slightly across age groups. Overall, the surgery is considered for patients whose quality of life is meaningfully disrupted by chronic or severe tonsillitis.

Benefits of Chronic Tonsillitis Surgery

Undergoing tonsillectomy for chronic tonsillitis offers a wide range of benefits that extend beyond the immediate relief of symptoms. One of the most significant advantages is a substantial reduction in the number and severity of throat infections. This results in fewer sick days, reduced need for antibiotics, and a break from the cycle of recurrent illness. Improved sleep quality is another important outcome, especially for patients whose enlarged tonsils were contributing to obstructive sleep apnoea, snoring, or restless sleep. Swallowing may become easier and less painful, and patients often notice an improvement in their energy levels and overall wellness. Additionally, the risk of more serious complications, such as abscess formation or the spread of infection to surrounding tissues, is eliminated. For children, these benefits translate into better school attendance, more consistent performance, and overall developmental gains. For adults, improved productivity, better focus, better breath and enhanced quality of life are often reported.

Consultation for Chronic Tonsillitis Surgery

The consultation process at Melbourne ENT is comprehensive and designed to provide patients with clarity and assurance. During your appointment with Dr Simon Braham, a detailed medical history will be taken to assess the frequency, duration, and severity of your tonsillitis episodes. You will also be asked about your response to medications and any related issues such as sleep disturbances or difficulties swallowing.

Dr Braham will perform a thorough physical examination of your throat, neck, nasal passages, and possibly ears to evaluate the extent of inflammation and rule out other contributing conditions. Depending on your symptoms, diagnostic tests such as an endoscopy or imaging studies may be ordered.

If sleep issues are a concern, a sleep study might be recommended. Dr Braham will then discuss the findings, outline the potential benefits and risks of surgery, and guide you through the treatment options. Clear pre-operative instructions, including fasting and medication guidelines, will be provided to ensure you are fully prepared for the procedure.

How is it Performed (Surgery for Chronic Tonsillitis)

Tonsillectomy is performed under general anaesthesia, ensuring the patient is completely unconscious and pain-free throughout the operation. The procedure is carried out through the mouth, with no external incisions. Once the patient is anaesthetised, the surgeon uses specialised instruments to carefully remove the tonsils. Several techniques may be used, including cold steel dissection with a scalpel, electrocautery which uses heat to remove tissue and control bleeding, or advanced technologies like coblation or harmonic scalpel which reduce tissue damage and may speed up recovery. The surgery typically takes between 30 to 60 minutes. After the procedure, the patient is taken to a recovery room for monitoring until they wake up. Most patients are discharged the same day, though an overnight hospital stay may be recommended for children or adults with specific medical considerations. Post-operative care focuses on managing pain, monitoring for bleeding, and encouraging fluid intake to promote healing.

Recovery After Chronic Tonsillitis Surgery

Recovery from a tonsillectomy can vary slightly between patients, but generally follows a well-established timeline. In the initial few days, most patients experience significant throat pain, which can radiate to the ears. Pain relief medications, such as paracetamol or prescribed analgesics, are used to keep discomfort under control. Eating soft, cool foods is encouraged to soothe the throat and prevent dehydration, which is a common concern post-surgery. Around days five to seven, patients may experience a temporary increase in pain as the surgical site begins to scab and heal. It is important to continue hydration and maintain a restful routine during this time. By the second week, most patients are able to resume light activities and begin transitioning back to a normal diet. Full recovery is typically achieved by the end of the third or fourth week. Patients are advised to avoid strenuous exercise, spicy foods, and environments with a high risk of infection during their recovery period. 

At Melbourne ENT we understand your fears that the recovery will be painful and difficult. We use advanced techniques such as coablation or harmonic scalpel to reduce pain and swelling.  Our anesthetists are experts in pain management and will prescribe medication to reduce pain, swelling and bleeding. They will be available to help you through the recovery if you need any advice with the medication. Our nursing staff at Masada are very experienced in looking after tonsillectomy patients and will hold your hand through the recovery if needed. You will be given a phone number to call 24 hours a day if any help is needed

Follow-up appointments ensure that healing is progressing appropriately and that no complications have arisen.

Risks and Complications of Chronic Tonsillitis Surgery

Although tonsillectomy is a routine and generally safe procedure, as with all surgeries, it carries certain risks. Bleeding is the most common complication and can occur either immediately after surgery or within a week to ten days, often when the scabs begin to slough off. This risk is carefully managed by the surgical team, and any signs of bleeding should be reported immediately. You will be given a number to call with any concerns. Pain is a normal part of recovery and is effectively managed with medications, your team will be available to support you through this. Infections at the surgical site are rare but possible and can usually be treated with antibiotics. Dehydration is another concern, especially in children, who may be reluctant to drink due to throat pain. Temporary voice changes can occur but usually resolve as healing progresses. Dr Simon Braham and the Melbourne ENT team use meticulous surgical techniques and provide thorough post-operative guidance to minimise these risks and support a smooth recovery.

Cost of Chronic Tonsillitis Surgery

The cost of tonsillectomy for chronic tonsillitis can vary based on several factors including the choice of hospital, surgeon’s fees, anaesthetist’s charges, and whether advanced surgical technologies are used. Additionally, post-operative care and any diagnostic tests performed prior to surgery can influence overall costs. While public hospital services may be available, many patients opt for private care to reduce waiting times and receive continuity of care with their chosen surgeon. At Melbourne ENT, our administrative team can provide a clear overview of what to expect in terms of fees, and help patients navigate payment options and insurance claims.

Medicare Coverage and Insurance

Tonsillectomy for chronic tonsillitis is typically covered under the Medicare Benefits Schedule (MBS) item numbers 41789 or 41793 when it meets the criteria for medical necessity. This means that most patients will be eligible for a rebate through Medicare, which can significantly reduce out-of-pocket expenses. Private health insurance may also cover a large portion of the hospital and surgical costs, depending on your policy, level of coverage, and any applicable waiting periods. Patients are encouraged to contact their insurance provider to confirm their benefits. The team at Melbourne ENT can assist with pre-authorisation and documentation to streamline the process and ensure that you understand your entitlements before proceeding with surgery.

Why Choose Dr Simon Braham

Dr Simon Braham is a highly respected ENT and Head & Neck Surgeon with a distinguished background in both functional and reconstructive surgery of the face and neck region. Holding MBBS (Hons) and FRACS qualifications, he brings more than three decades of clinical expertise to his practice. His advanced training completed in world-renowned centres in New York and Boston enhances his skill set in delicate head and neck procedures. Dr Braham holds appointments at leading institutions including Masada Private Hospital and the Royal Victorian Eye and Ear Hospital. He is committed to delivering evidence-based, personalised care, and is known for his thorough assessments, clear communication, and compassionate approach. Patients consistently report feeling heard and supported throughout their surgical journey.

“The focus is always on tailored care and helping you return to full health.” – Dr Simon Braham

With a patient-first philosophy and a reputation for excellence, Dr Braham ensures that every individual receives the highest standard of ENT care.

FAQs About Chronic Tonsillitis Surgery

Call to Action

If chronic tonsillitis is impacting your health and quality of life, Melbourne ENT is here to help. Don’t let recurrent infections or ongoing discomfort continue to affect your wellbeing. Book your consultation with Dr Simon Braham today to explore your treatment options, gain peace of mind, and take the next step towards better health.

Call (03) 9038 1311 or contact us to schedule your appointment.

Early intervention and expert care can make a meaningful difference to your life and overall health.

Further Reading

• View Melbourne ENT’s Before and After Photos
• Read about Melbourne ENT’s Tonsil Surgery for Kids in Melbourne
• Read about Melbourne ENT’s Adult Tonsil Surgery Melbourne
• Read about Melbourne ENT’s Adenotonsillectomy Melbourne
• Read about Melbourne ENT’s Adenoidectomy Melbourne