{"id":3019,"date":"2026-01-29T17:32:14","date_gmt":"2026-01-29T14:32:14","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/glossary\/tonsilotomia\/"},"modified":"2026-01-29T17:32:33","modified_gmt":"2026-01-29T14:32:33","slug":"tonsilotomia","status":"publish","type":"glossary_item","link":"https:\/\/wiki.dev.voka.io\/pt\/glossario\/tonsilotomia\/","title":{"rendered":"Tonsilotomia"},"content":{"rendered":"\n

Tonsilotomia (do latimtonsillae<\/em> \u2014 am\u00edgdalas e do grego\u03c4\u03ad\u03bc\u03bd\u03c9 <\/em>\u2014 cortar, seccionar) \u00e9 uma opera\u00e7\u00e3o cir\u00fargica que consiste na remo\u00e7\u00e3o parcial (redu\u00e7\u00e3o do volume) das am\u00edgdalas palatinas. A principal diferen\u00e7a em rela\u00e7\u00e3o \u00e0 tonsilectomia \u00e9 que apenas a por\u00e7\u00e3o da am\u00edgdala que se projeta para a faringe \u00e9 removida, enquanto a sua base e c\u00e1psula s\u00e3o preservadas.<\/p>\n\n

O principal objetivo desta cirurgia \u00e9 eliminar a obstru\u00e7\u00e3o mec\u00e2nica das vias a\u00e9reas causada pelo aumento excessivo das am\u00edgdalas. Entretanto, a preserva\u00e7\u00e3o de parte do tecido linf\u00f3ide permite que este continue a desempenhar a sua fun\u00e7\u00e3o imunol\u00f3gica.<\/p>\n\n

Indica\u00e7\u00f5es para septoplastia<\/strong><\/h2>\n\n

A tonsilotomia \u00e9 o procedimento de elei\u00e7\u00e3o exclusivamente em casos de obstru\u00e7\u00e3o. N\u00e3o \u00e9 realizada em casos de infec\u00e7\u00f5es cr\u00f3nicas das am\u00edgdalas.<\/p>\n\n

A principal e praticamente \u00fanica indica\u00e7\u00e3o \u00e9 a hipertrofia das am\u00edgdalas palatinas, que causa problemas respirat\u00f3rios:<\/p>\n\n

    \n
  • S\u00edndrome da apn\u00e9ia obstrutiva do sono(SAOS):<\/strong> Esta \u00e9 a principal indica\u00e7\u00e3o, sobretudo em idade pedi\u00e1trica. A redu\u00e7\u00e3o do tamanho das am\u00edgdalas leva \u00e0 dilata\u00e7\u00e3o das vias a\u00e9reas e \u00e0 normaliza\u00e7\u00e3o da respira\u00e7\u00e3o durante o sono.<\/li>\n\n\n\n
  • Ronco intenso (roncopatia)<\/strong> causado por am\u00edgdalas grandes.<\/li>\n\n\n\n
  • Disfagia:<\/strong>Raramente, as am\u00edgdalas muito grandes, conhecidas como \u00abam\u00edgdalas em beijo\u00bb (quando se tocam no meio da garganta) podem dificultar a degluti\u00e7\u00e3o.<\/li>\n<\/ul>\n\n

    Esta cirurgia \u00e9 realizada com maior frequ\u00eancia em crian\u00e7as com am\u00edgdalas hipertrofiadas. <\/p>\n\n

    A tonsilotomia \u00e9 contraindicada em casos de anginas recorrentes e amigdalite cr\u00f3nica descompensada, uma vez que a parte restante da am\u00edgdala pode continuar a ser um foco de infec\u00e7\u00e3o. Nestes casos, \u00e9 indicada a amigdalectomia total.<\/p>\n\n

    T\u00e9cnica operat\u00f3ria e vantagens<\/strong><\/h2>\n\n

    A opera\u00e7\u00e3o \u00e9 sempre realizada sob anestesia geral. O objetivo do cirurgi\u00e3o \u00e9 remover a por\u00e7\u00e3o saliente da am\u00edgdala sem danificar a sua c\u00e1psula ou o tecido muscular subjacente da parede far\u00edngea. M\u00e9todos modernos:<\/p>\n\n

      \n
    • Amigdalectomia por cobla\u00e7\u00e3o (tonsilotomia com plasma frio):<\/strong> \u00c9 o padr\u00e3o ouro. Permite vaporizar o tecido de forma precisa e minimamente invasiva.<\/li>\n\n\n\n
    • Tonsilotomia com shaver (microdebridador):<\/strong> Utiliza-se um instrumento especial (shaver) que corta e aspira o tecido das am\u00edgdalas.<\/li>\n\n\n\n
    • T\u00e9cnicas a laser e radiofrequ\u00eancia.<\/strong><\/li>\n<\/ul>\n\n

      Vantagens em rela\u00e7\u00e3o \u00e0 amigdalectomia total:<\/p>\n\n

        \n
      • Dor p\u00f3s-operat\u00f3ria \u00e9 muito menos intensa:<\/strong> Uma vez que a camada muscular da faringe permanece intacta.<\/li>\n\n\n\n
      • Recupera\u00e7\u00e3o mais r\u00e1pida:<\/strong> Os pacientes retornam \u00e0 alimenta\u00e7\u00e3o normal e \u00e0s atividades di\u00e1rias mais cedo.<\/li>\n<\/ul>\n\n

        Significado cl\u00ednico e localiza\u00e7\u00e3o<\/strong><\/h2>\n\n

        A tonsilotomia \u00e9 um m\u00e9todo altamente eficaz e seguro para o tratamento da s\u00edndrome da apneia obstrutiva do sono em crian\u00e7as, causada pela hipertrofia das am\u00edgdalas. A sua efic\u00e1cia na resolu\u00e7\u00e3o do problema da obstru\u00e7\u00e3o \u00e9 compar\u00e1vel \u00e0 da amigdalectomia, mas tem um perfil de seguran\u00e7a muito mais favor\u00e1vel. Uma poss\u00edvel desvantagem \u00e9 a possibilidade te\u00f3rica de um novo crescimento (recidiva da hipertrofia) do tecido linf\u00f3ide remanescente, mas, na pr\u00e1tica, isso n\u00e3o \u00e9 muito comum. A escolha entre tonsilotomia e tonsilectomia \u00e9 sempre determinada pela principal indica\u00e7\u00e3o cir\u00fargica: obstru\u00e7\u00e3o ou infec\u00e7\u00e3o cr\u00f3nica.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Tonsilotomia (do latim
        \ntonsillae \u2014 am\u00edgdalas e do grego
        \n\u03c4\u03ad\u03bc\u03bd\u03c9 \u2014 cortar, seccionar) \u00e9 uma opera\u00e7\u00e3o cir\u00fargica que consiste na remo\u00e7\u00e3o parcial (redu\u00e7\u00e3o do volume) das am\u00edgdalas palatinas. A principal diferen\u00e7a em rela\u00e7\u00e3o \u00e0 tonsilectomia \u00e9 que apenas a por\u00e7\u00e3o da am\u00edgdala que se projeta para a faringe \u00e9 removida, enquanto a sua base e c\u00e1psula s\u00e3o preservadas.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-3019","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"\nTonsilotomia: defini\u00e7\u00e3o m\u00e9dica e vis\u00e3o geral | Voka Wiki<\/title>\n<meta name=\"description\" content=\"Tonsilotomia (do latim tonsillae \u2014 am\u00edgdalas e do grego \u03c4\u03ad\u03bc\u03bd\u03c9 \u2014 cortar, seccionar) \u00e9 uma opera\u00e7\u00e3o cir\u00fargica que consiste na remo\u00e7\u00e3o parcial (redu\u00e7\u00e3o do volume) das am\u00edgdalas palatinas. 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