Tonsillectomies and children
Children and tonsillectomies
The tonsils are made up of lymphoid tissue and help fight against infections. However, some people with larger tonsils, particularly in children, may have many sore throats and ear infections, or trouble breathing. In these cases, surgical removal of the tonsils, a tonsillectomy, can be beneficial.
Information
Today, many parents wonder if it is wise for children to have their tonsils taken out. Tonsillectomy may be recommended if your child has any of the following:
- Difficulty swallowing
- Obstructed breathing during sleep
- Throat infections or throat abscesses that keep returning
In most cases, inflammation of the tonsils can be successfully treated with antibiotics. There are always risks associated with surgery.
You and your child's health care provider may consider a tonsillectomy if:
- Your child has frequent infections (7 or more times in 1 year, 5 or more times per year over 2 years, or 3 or more times per year over 3 years).
- Your child misses a lot of school.
- Your child snores, has trouble breathing, and has sleep apnea.
- Your child has an abscess or growth on their tonsils.
References
Goldstein NA. Evaluation and management of pediatric obstructive sleep apnea. In: Lesperance MM, ed. Cummings Pediatric Otolaryngology. 2nd ed. Philadelphia, PA: Elsevier; 2022:chap 3.
Mitchell RB, Archer SM, Ishman SL, et al. Clinical Practice Guideline: tonsillectomy in children (update). Otolaryngol Head Neck Surg. 2019;160(1_suppl):S1-S42. PMID: 30798778
Wetmore RF. Tonsils and adenoids. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 411.
Version Info
Last reviewed on: 7/1/2023
Reviewed by: Charles I. Schwartz, MD, FAAP, Clinical Assistant Professor of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, General Pediatrician at PennCare for Kids, Phoenixville, PA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
