Since it was first described 2000 years ago, tonsillectomy still seems to a frequently performed procedure in children as well as in adults. Indications for surgery in children with recurrent tonsillitis and other conditions varies demographically and across different centres. This article describes the indications for tonsillectomy in pediatric patients.
General considerations Although most tonsil related ailments tends to decline with the age, the choice for surgery depends on individual preference. Decisions regarding elective tonsillectomy and/or adenoidectomy in children should be individualised. Factors to consider include: The potential benefits and risks of surgery in comparison with appropriate alternative strategies (eg, watchful waiting, antimicrobial therapy) The natural course of disease Clinical factors related to the disease process (eg, frequency and severity of episodes…
