Does my child need a tonsillectomy?
The number of tonsillectomies performed in this country continue to decline. There are a number of reasons but they include altitudes, risks, costs and recovery time. However, tonsillectomy is still a very useful operation given the right indications. There are two main indications include recurrent tonsillitis 1. three to five episodes per year for one year or 2. two to three episodes for two years with fevers, missed school or work, poor oral intake, malaise, swollen tonsils and need for antibiotics. The other main indication is upper airway obstructed syndrome which is usually seen in children with large tonsils and adenoids. Symptoms consist of very loud snoring, apnea, poor nasal airway, daytime fatigue and naps. Other indications consist of strep or other infectious carriers, cancer, and halitosis (bad breath). Consult an ears, nose and throat specialist for further evaluation.