Cleveland Clinic is a nonprofit multispecialty academic healthcare system in Cleveland, Ohio. It offers adult and pediatric care across 12 specialized institutes. Key departments include heart surgery, neurology, and oncology. The clinic was founded in 1921. It now employs over 50,000 people across its global network, with hospitals in London, Abu Dhabi, and Canada.
The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
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The Neurological Institute treats over 140,000 patients each year. The Heart and Vascular program manages over 900,000 visits annually. Surgical teams perform more than 200,000 procedures each year. The nursing practice holds the Magnet designation for excellence. Its cancer program is accredited by the American College of Surgeons. International patients get help through a dedicated Global Patient Services department.
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Central Hospital is a private multi-specialty medical center in Istanbul, treating about 138,000 patients annually since 1994. Its main specialties are neurosurgery, orthopedics, and spinal surgery for both adults and children. The hospital network draws patients from CIS countries, Europe, and the Balkans.
The procedure involves removing the tonsils to alleviate issues like tonsillitis or sleep apnea, improving patient health.
"},"643":{"operation":{"name":"Trans-sphenoidal hypophysectomy (adenomectomy)","alias":"trans-sphenoidal-hypophysectomy-adenomectomy","use_for_listing":true},"country_price":{"US":{"amount":38000,"max_amount":68000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":8000,"max_amount":20000,"currency":"USD","clinic_count":13,"price_kind":"from_range","price_source":"mixed","scope":"country"},"TH":{"amount":16000,"max_amount":24000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"AT":{"amount":14500,"max_amount":22500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":true,"AT":false},"description":"This surgery removes pituitary tumors through the nose, with benefits including less pain and faster recovery.
"},"825":{"operation":{"name":"Adenoid Removal","alias":"adenoid-removal","use_for_listing":true},"country_price":{"US":{"amount":4500,"max_amount":8500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":1200,"max_amount":2500,"currency":"USD","clinic_count":5,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1300,"max_amount":2100,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":2300,"max_amount":3600,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"This operation eliminates adenoids to help breathing, reduce infection risk, and decrease sinus and ear issues.
"},"1042":{"operation":{"name":"Nasal polyp surgery","alias":"nasal-polyp-surgery","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TR":{"amount":2000,"max_amount":3400,"currency":"USD","clinic_count":6,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":2300,"max_amount":4000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"AT":{"amount":3600,"max_amount":6200,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"US":false,"TR":true,"TH":false,"AT":false},"description":"This operation removes benign growths in the nose, enhancing breathing and reducing sinus infection risk.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":1},"illness_kind_details":{"requests_processed":4449}},"direction":{"id":6,"name":"Otorhinolaryngology/Ear, Nose and Throat(ENT)","alias":"otorhinolaryngology"},"illness_kind":{"id":6,"name":{"en":"Otorhinolaryngology/Ear, Nose and Throat(ENT)"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Pain peaks on days 3-7 and diet is limited at first. Adults usually need the upper end."},"complication_rate_pct":{"min":1.5,"max":4,"unit":"percent","qualifier":"Serious events only, mainly bleeding needing return to theatre. Minor issues excluded. Higher in adults than children."},"contraindications":["Active acute tonsillitis at time of surgery","Bleeding disorders or uncorrected coagulopathy","Anticoagulant or antiplatelet therapy that cannot be safely managed","Unfit for general anesthesia due to severe cardiopulmonary disease"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after a few hours of observation; overnight stay only if bleeding, pain or airway concerns."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":3,"unit":"weeks","qualifier":"Strenuous exercise and heavy lifting wait until scabs separate and healing."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Tonsils are removed at surgery and the area heals in 2-4 weeks. Symptom improvement is usually clear within 1-3 months."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Secondary bleeding can occur up to about 2 weeks, when scabs separate. Avoid flying until this window passes."},"follow_up_visits":[{"purpose":"assessment","requirement":"conditional","after":{"min":14,"max":28,"unit":"days","qualifier":"Optional postoperative review after healing; many surgeons only see patients if problems arise."}},{"purpose":"other","requirement":"conditional","after":{"min":1,"max":14,"unit":"days","qualifier":"Urgent review for any bleeding, fever or inability to drink."}}],"indications":["Recurrent acute tonsillitis meeting frequency criteria","Chronic tonsillitis not responding to treatment","Peritonsillar abscess history (recurrent)","Obstructive sleep-disordered breathing due to tonsil hypertrophy","Suspected tonsil malignancy or asymmetry needing tissue diagnosis","Chronic tonsilloliths or halitosis unresponsive to other measures"],"main_risks":["Postoperative bleeding (primary or secondary, up to about 2 weeks)","Severe throat pain and dehydration","Infection","Anesthesia-related risks","Nausea and vomiting","Temporary voice change, taste change or referred ear pain","Rarely dental injury, airway problems or velopharyngeal issues"],"pain":"Moderate to severe sore throat, often with referred ear pain, peaking around days 3-7 and worse in adults; usually improves over 10-14 days with regular analgesia.","preparation":["Preoperative clinical assessment and anesthesia evaluation","Blood tests if indicated by history","Review of bleeding history and current medications with the surgeon","Fasting before general anesthesia as instructed","Arrange adult support at home for the first days"],"recovery_timeline":[{"phase":"Day 0","description":"Observation after general anesthesia and discharge the same day if drinking and no bleeding.","restrictions":["Rest","No driving","Cool fluids and soft food"]},{"phase":"Days 1-6","description":"Peak throat pain; white scab forms in tonsil beds; maintain hydration and analgesia.","restrictions":["Avoid sharp or hot foods","Avoid strenuous activity","Avoid NSAIDs unless surgeon approves"]},{"phase":"Days 7-14","description":"Scabs separate with risk of secondary bleeding; seek urgent care for bleeding. Pain settles and diet normalizes.","restrictions":["Avoid heavy exertion"]},{"phase":"Weeks 2-4","description":"Most normal activities resume; sport and exercise return gradually.","restrictions":["Gradual return to sport"]}],"rehabilitation_days":{"min":10,"max":14,"unit":"days","qualifier":"Throat pain peaks on days 3-7 and settles over 10-14 days. Children recover earlier, adults later."},"result_longevity":"Tonsils are removed, so tonsillitis from tonsil tissue is not expected to recur; occasional pharyngitis may still occur, and rare regrowth of residual tissue is possible.","revision_rate_pct":{"min":0,"max":1,"unit":"percent","qualifier":"Regrowth needing repeat surgery is rare, under about 1% long-term. Bleeding returns to theatre are not counted."},"scars":"No external scars; operation is performed through the mouth.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation under general anesthesia."},"stages":[{"code":"tonsillectomy","label":"Removal of both palatine tonsils","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial procedure."}}],"qualifier":"Standalone bilateral tonsillectomy in one session."},"success":{"metric":"Fewer sore throat episodes after tonsillectomy for recurrent tonsillitis","value":80,"unit":"percent reduction in episodes","horizon":"12 months","population":"Adults with recurrent acute tonsillitis meeting frequency criteria","evidence_status":"limited"},"techniques":[{"name":"Cold steel dissection with ties or cautery","suits_whom":"Most adults with recurrent tonsillitis; traditional, widely available approach.","recovery":"Typically 10-14 days in adults."},{"name":"Electrocautery 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you","scope":"treatment_type","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Surgery is marketed as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding that does not stop","urgency":"emergency","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"If the bleeding is heavy, does not stop, or you feel faint or unwell, call 999 immediately.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the throat after leaving hospital","urgency":"contact_clinic","general":false,"source":{"url":"https://www.pah.nhs.uk/?p=8946","host":"pah.nhs.uk","quote":"Bleeding from your throat after you have left hospital.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Pain that gets worse after five days","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/17562-tonsillectomy-postop-care","host":"my.clevelandclinic.org","quote":"Pain that gets worse after five days or doesn’t improve with pain medication","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever that does not improve with 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plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your tonsillitis is caused by bacteria rather than a virus","name":"Antibiotics for bacterial tonsillitis","source":{"url":"https://my.clevelandclinic.org/health/diseases/21146-tonsillitis","host":"my.clevelandclinic.org","quote":"Antibiotics typically eliminate bacterial tonsillitis in about 10 days.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your tonsillitis is viral and settles without treatment","name":"Watchful waiting for 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