Tonsils are two pieces of lymphatic tissue located in the throat on either side of the root of the tongue. They are part of the immune system and stimulate the immune system and provide the first response to germs ingested through the mouth.
There are two main criteria for surgical intervention on tonsils. These can be separate criteria or their presence alone is sufficient for surgical intervention.
Tonsils can become large enough to affect breathing and feeding and mimic the symptoms of adenoids. In this case, the tonsils should be intervened together with the adenoids in order to continue the healthy development of the child and to prevent apnea. If the tonsils are extremely large, it may be a surgical option to reduce the tonsils instead of removing them.
Another condition that requires removal of the tonsils is recurrent throat infections. In the case of recurrent tonsil infections (4 infections in a year or 7 infections in two years), the size of the tonsils does not matter and they should be removed even if they are small.
When deciding on an operation, of course, the balance of benefit and harm is taken into consideration. Therefore, if the operation is on the agenda, it means that the harms have started to overshadow the benefits.
Removal of tonsils in the presence of chronic infection will prevent the child from frequent tonsil infections and reduce the complications of infections (convulsions, acute rheumatic fever, acute poststreptococcal glomerulonephritis). It will also reduce the continuous use of medication for these infections.
All children who will undergo tonsillectomy should be evaluated for adenoids before or during the operation; the opposite is not always true.
Your child's adenoid problem is treatable and with the right intervention, your child's health can quickly return to normal.
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Last Updated: 25.07.2025