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Updated: Jan 12, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Clinical Conundrum: The Post-tonsillectomy Patient Who Refused to Swallow
Chyau Hong Wong1,2, Yi Yuan Ho1, Ghin Ern Annie Chieng1
1Department of Otorhinolaryngology, Hospital Sibu, Batu 5 1/2, Jalan Ulu Oya, Pekan Sibu, Sibu, Sarawak, 96000, Malaysia.
Abstract:
Tonsillectomy is a common surgical procedure performed by otolaryngologists, primarily indicated for the management of recurrent tonsillitis and obstructive sleep apnea. While postoperative pain and hemorrhage are well-recognized complications, persistent dysphagia following tonsillectomy is rare. In such cases, a comprehensive evaluation is warranted to identify potential mechanical or functional causes. Psychogenic dysphagia is a diagnosis of exclusion and may significantly affect a patient's quality of life. Timely intervention, including detailed swallowing assessment and multidisciplinary team involvement, is essential for optimal recovery. This report presents a case of a 42-year-old male who underwent elective tonsillectomy complicated with secondary postoperative hemorrhage, followed by the development of severe dysphagia attributed to a psychogenic etiology.
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