7/24/2019 Indication Guidelines for Tonsillectomy

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INDICATION GUIDELINES FOR TONSILLECTOMY

1. Patient with 3 or more infections of tonsils and/or adenoids per year despite adequate

medical therapy.

2. Hypertrophy causing dental malocclusion or adversely affecting orofacial growth

documented by orthodontist.

3. Hypertrophy causing upper airway obstruction, severe dysphagia, sleep disorders, orcardiopulmonary complications.

4. surgery performed during acute stage.

5. Persistent foul taste or breath due to chronic tonsillitis not responsive to medical therapy

6. Chronic or recurrent tonsillitis associated with the streptococcal carrier state and not

responding to beta-lactamase-resistant antibiotics.

7. Unilateral tonsil hypertrophy presumed neoplastic.

8. Recurrent suppurative or otitis media with effusion