1. Excessive dissection, cautery and damage to the muscles surrounding the tonsil during your tonsillectomy
is the reason for your discomfort.
2. These structures are also known as the tonsillar bed and tonsillar arches or pillars and are formed by the following muscles: glossopharyngeus, palatopharyngeus, stylopharyngeus and the superior constrictor muscle.
3. The actions of the above muscles is to help in moving the palate, tongue, larynx and pharynx, hence your discomfort.
4. It is highly unlikely that their nerve supply is damaged.
5. Such damage is usually irreversible, however, if you are highly distressed, have a detailed examination to see if any excessive fibrosis
can be released by:
(i) conventional surgery (risk of more fibrosis!),
(ii) depot steroid / hyaluronidase/ interferon/ placentrex
injections, and oral medication like lycopene
, anti-oxidants, chymotrypsin
and pentoxyfilline (all these may not be of much use in long standing fibrosis),
(iii) radio-frequency, co-ablation or laser.