1. Recurrent infections - acute or chronic
2. Airway obstruction
3. Recurrent peritonsillar abscesses
4. Chronic bad breath related to tonsillar crypt debris
5. Eating or swallowing disorders
6. Certain cases of recurrent otitis media
7. Suspected malignancy

RISKS:

Below are listed approximate risks for tonsillectomy and adenoidectomy:

1. Anesthesia-related problems - 1 out of 10,000
2. Death from bleeding - 1 out of 35,000
3. Need for transfusion - Less than 1 out of 100
4. Return for control of bleeding - 1 out of 100
5. Adverse voice change - 1 out of 10,000

PREOPERATIVE TESTS:

1. Complete blood count
2. Other tests as indicated by patient's history

ANESTHESIA

Tonsillectomy/adenoidectomy is performed under a general anesthetic lasting 30-45 minutes. The major risks of anesthesia are uncontrollable temperatures and heart, circulation or lung problems. The overall risk is approximately 1 in 10,000 of an adverse reaction.

SURGERY

Tonsils/adenoids are removed through the mouth under general anesthesia lasting 30-45 minutes. All bleeding is controlled using electrocautery.

HOSPITAL STAY

These procedures can be done on an outpatient basis. Approximately 90% of children are able to go home after being observed for a safe period of time. Any persistent nausea and vomiting or any evidence of bleeding or dehydration means overnight observation is necessary. If a patient lives more than a 30 minute drive from the hospital, overnight stay is recommended.

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