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Normal anatomy:

Tonsil glands are located in the back of the throat. They contain immune cells which fight infection.


Normal anatomy


Indications:

Tonsillectomy is advisable when tonsillitis attacks are so frequent or severe that they affect a child's general health or interfere with school, hearing, or breathing. However, tonsillectomies are thought to be done more often than necessary, so a second opinion should be obtained when there is any doubt.

Specifically, the guidelines for surgery are:

  • 5 or more episodes of tonsillitis in one year, or
  • 3 or more episodes per year over a 2-year period, or
  • upper airway obstruction due to tonsillar hypertrophy
  • recurrent tonsillar abscess

Tonsillectomy is advised if the tonsils are enlarged and obstructing access to the adenoid during an adenoidectomy operation, or the physician suspects the presence of a tonsil tumor.


Indications


Procedure:

Under general anesthesia, the ear-nose-throat (ENT) surgeon holds the mouth open and pulls the tongue forward to reveal the tonsils. The tonsils are pulled away from the back of the throat and then removed by being cut away. Bleeding is controlled, and often the cut heals naturally without stitches.


Procedure


Aftercare:

Patients are generally observed in the hospital for between 12 and 24 hours after surgery. Removal of the tonsils is not known to cause any problems later in life.


Aftercare



Review Date: 10/20/2006
Reviewed By: Alden J. Pearl, M.D., Clinical Assistant Professor, Department of Otolaryngology, State University of New York Health Science Center at Brooklyn, Brooklyn, NY. Review provided by VeriMed Healthcare Network.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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Wentworth-Douglass Hospital
789 Central Avenue, Dover, NH 03820
Phone: (603) 742-5252
Toll free: 1 (877) 201-7100