Patient: What are the current recommendations for tonsillectomy procedure in children and in adults? Is there a difference in outcome if the surgery is delayed until the child is older? Do you have to have confirmed cases of Strep throath to be considered a surgical candidate? How long is the recovery period? What are alternatives to surgery? Thank you for you help and assistance
Doctor: The indications for tonsillectomy are the same in adults and children. Some of the indications listed below are not abso lute and are at the discretion of the patient and surgeon.Significantly enlarged tonsils that cause sleep apnea, breathing difficulty or difficulty swallowing.Tonsillitis causing seizures in childrenDevelopment of a tonsillar absecess that doesn’t respond to antibioticsThree or more episodes of tonsillitis per yearPersistent bad breath from chronic tonsillitisSuspected cancerConfirmed strept throat is not an indication for tonsillectomy. However, strept throat which is not responding to antibiotics may require tonsillectomy.There are no alternatives for surgery. If surgery is absolutely indicated then it is the only option.There is no difference in outcome regardless of age. However, surgery should not be delayed unnecessarily especially in cases of sleep apnea or suspected cancer.The recovery period is usually short and most persons are back to a normal diet within a few days.