When is tonsillectomy indicated for the treatment of tonsillitis?

Updated: Apr 06, 2020
  • Author: Udayan K Shah, MD, FACS, FAAP; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Tonsillectomy is indicated for the individuals who have experienced the following:

  • More than six episodes of streptococcal pharyngitis (confirmed by positive culture) in 1 year

  • Five episodes of streptococcal pharyngitis in 2 consecutive years

  • Three or more infections of the tonsils and/or adenoids per year for 3 years in a row despite adequate medical therapy

  • Chronic or recurrent tonsillitis associated with the streptococcal carrier state that has not responded to beta-lactamase–resistant antibiotics


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