Tonsillitis surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Chronic cases may indicate tonsillectomy (surgical removal of tonsils) as a choice for treatment.[1]
Surgery
- The surgery associated with the removal of the tonsils is termed a tonsillectomy.
- Tonsillectomies are performed primarily on children that suffer from recurrent, acute bacterial tonsillitis.
- All other cases should consider first line therapy.
- The criteria for a child to undergo a tonsillectomy consists of seven or more documented and treated episodes in the previous year.
- Other criteria may be met if five or more episodes occur in the two preceding years.
- Hemorrhaging is a common, postoperative concern.
- The least amount of hemorrhaging is associated with a cold dissection.
- Risk of postoperative hemorrhaging can be further lessened with the proper usage of sutures and ligatures.
- Procedures involving lasers, mono or bipolar forceps, and coblation have displayed a higher risk of postoperative hemorrhaging. [2]
- Currently, partial removal remains the surgical option of choice.
References
- ↑ Paradise JL, Bluestone CD, Bachman RZ; et al. (1984). "Efficacy of tonsillectomy for recurrent throat infection in severely affected children. Results of parallel randomized and nonrandomized clinical trials". N. Engl. J. Med. 310 (11): 674–83. PMID 6700642. - Paradise studied 187 children with tonsillectomy or tonsillectomy and adenoidectomy. 91 children were randomly put in surgical and non-surgical groups. The other 96 were place by parent’s choice. The results favored the surgical group on reoccurrence of throat infections during their initial and second year follow-up where the data was collected. While non-surgical groups did better in the long run. 13 out of the 95 surgical group encountered surgical complications after their second year follow up
- ↑ Tonsillitis and sore throat in children. United States National Library of Medicine. National Institutes of Health. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4273168/