Tonsils and Adenoids in Children: When Is Surgery Needed?

What Are Tonsils and Adenoids?

Tonsils and adenoids are lymphoid tissues that form part of the immune system during childhood. In children who suffer frequent infections or who have a genetic predisposition, these tissues can become enlarged and narrow the airway.

Which Symptoms Bring Up the Question of Surgery?

• Noticeable snoring and breathing pauses during sleep
• A habit of mouth breathing
• Frequently recurring throat infections during the year
• Difficulty swallowing or feeding problems
• Daytime inattention, decline in school performance

How Is the Decision for Surgery Made?

A single infection episode usually does not require surgery. The decision is made by evaluating the frequency of infections, the degree of airway obstruction and the impact on the child's sleep and development together. If necessary, sleep and breathing complaints are reviewed together with the family.

How Is the Surgery Performed?

Adenotonsillectomy (removal of the tonsils and adenoids) is performed under general anaesthesia and can today be done with bloodless techniques such as radiofrequency or thermal welding. These methods can help shorten pain and recovery time.

What Should Be Watched After Surgery?

Sore throat and a transition to soft foods can be expected in the first few days; drinking plenty of fluids supports recovery. If snoring continues after surgery, the most common cause may be allergies, in which case an allergy assessment is also recommended.

You can book an appointment for your child's ENT assessment or review our sleep apnea in children page.