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Why Do Adults Need Tonsillectomies?
Published: Dec 24, 2023
Tonsillectomies aren't just for kids! Discover why some adults need their tonsils removed and what conditions make surgery necessary.
Understanding Tonsil Anatomy
Tonsils are part of the lymphatic system, acting as a defense against infections. They're located in the pharynx and can cause problems when they become infected. The most commonly referred to tonsils are the palatine tonsils, which are part of a lymphatic ring in the throat.
Recurrent and Chronic Infections
Many adults suffer from recurrent tonsillitis or pharyngitis, leading to frequent sore throats and infections. Chronic tonsillitis can be caused by various factors, including viruses, bacteria, and even acid reflux. These repeated infections often lead to a recommendation for tonsillectomy to improve quality of life.
Criteria for Surgery
Not everyone with a sore throat needs a tonsillectomy. Surgery is typically recommended for adults meeting certain criteria, such as multiple documented episodes of pharyngitis within a year. The decision is based on the severity of symptoms and the impact on daily life.
Other Considerations
Tonsillectomy might also be indicated for obstructive sleep apnea, suspected cancer, or persistent bad breath due to tonsil stones. However, surgery is not typically performed solely to prevent infections unless they are severely impacting life.
Frequently Asked Questions
Tonsils are lymphoid tissue in the throat that help fight infections.
Adults may need a tonsillectomy due to recurrent infections or obstructive sleep apnea.
Chronic tonsillitis is a long-lasting infection of the tonsils that doesn’t go away.
Yes, risks include postoperative pain and, rarely, bleeding.
Yes, it reduces infection frequency and improves quality of life.
Key Takeaways
Understanding when and why tonsillectomy is needed can help make informed health decisions.
References
- Rosenfeld RM, Green RP. Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol 1990; 99:187.
- Hall MJ, Lawrence L. Ambulatory surgery in the United States, 1996. Adv Data 1998; :1.
- Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. National Center for Health Statistics. Vital Health Stat 1998; 13:139.
- Darrow DH, Siemens C. Indications for tonsillectomy and adenoidectomy. Laryngoscope 2002; 112:6.
- Hoddeson EK, Gourin CG. Adult tonsillectomy: current indications and outcomes. Otolaryngol Head Neck Surg 2009; 140:19.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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