Tonsillitis: Do not operate on children immediately

Tonsillitis: Do not operate on children immediately

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When do tonsils have to be removed surgically?

Tonsillitis is common. With the right therapy, the disease usually heals without consequences within one to two weeks. Home remedies can also help with treatment. In some cases, those affected can also consider surgery.

It was still common 20 years ago: if there were difficulties with the tonsils, the culprits were usually removed surgically. In the meantime, however, doctors are trying to treat conservatively. Home remedies for tonsillitis can also help. Surgery should only take place if there are too many problems.

Children are particularly ill

Children are particularly often affected by tonsillitis - then as now. The difference is that surgery is now much less common.

One reason for this: Complications such as subsequent bleeding can occur when removing tonsils, explains pediatrician Ulrich Fegeler in the “Neue Apotheken Illustrierte” (January 1st, 2020 edition).

In addition, an international research team found that almond removal in children can promote later illnesses. The results of the scientists were published in the journal "JAMA Otolaryngology-Head & Neck Surgery".

The protective function of the tonsils is retained without an OP.

Almonds do not have to be removed completely

A guideline is therefore: If the tonsils are inflamed at least six times a year, it is worth thinking about an operation. However, it does not always have to be a complete distance.

Sometimes the tonsils can only be partially removed on an outpatient basis. Then, according to experts, there is less frequent bleeding or other complications.

The doctor decides whether an operation is necessary or not, together with the patient or, in the case of children, with the parents, on a case-by-case basis. (ad, source: dpa / tmn)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.


  • Sean G. Byars, Stephen C. Stearns, Jacobus J. Boomsma: Association of Long-Term Risk of Respiratory, Allergic, and Infectious Diseases With Removal of Adenoids and Tonsils in Childhood; in: JAMA Otolaryngology-Head & Neck Surgery, (published: 07.06.2018), JAMA Otolaryngology-Head & Neck Surgery

Video: Strep throat streptococcal pharyngitis- pathophysciology, signs and symptoms, diagnosis, treatment (September 2022).


  1. Danny

    very interesting :)

  2. Gaffney

    Absolutely with you it agree. It is good idea. It is ready to support you.

  3. Houdenc

    Sorry to interfere, but could you please give a little more information.

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