Vol 9 No 2 (2024): December
Medicine

Tonsillectomy in Children: Review Article
Tonsilektomi pada Anak: Ulasan Artikel


Kadhim Jawad Awad
Community Health Nursing Department, College of Nursing, University of Basrah, Iraq *

(*) Corresponding Author
Picture in here are illustration from public domain image or provided by the author, as part of their works
Published December 30, 2024
Keywords
  • Tonsillectomy,
  • Children,
  • Review
How to Cite
Awad, K. J. (2024). Tonsillectomy in Children: Review Article. Academia Open, 9(2), 10.21070/acopen.10.2025.10602. https://doi.org/10.21070/acopen.10.2025.10602

Abstract

One of the most frequent surgical operations on children in Australasia is tonsillectomy. For a non-surgical audience, this study attempts to give a current evaluation of the procedure's indications (and the evidence basis for each of these indications), together with a discussion of the surgical technique, perioperative care, and risks. Recurrent pharyngotonsillitis and obstructive sleep apnea (OSA) are the main causes of tonsillectomy; tonsillectomy is typically done in combination with adenoidectomy for both conditions. Tonsillectomy has been shown to enhance quality of life, child behavior, and objective measurements of OSA in sleep studies. It is less clear how surgery affects cognitive function.

Highlights:

 

  1. Common pediatric surgery: Tonsillectomy for recurrent pharyngotonsillitis & obstructive sleep apnea.
  2. Benefits: Improves quality of life, behavior, and OSA measurements.
  3. Uncertainty: Cognitive effects of surgery remain unclear.

 

Keywords: Tonsillectomy, Children, Review

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References

  1. S. R. Greig, "Current perspectives on the role of tonsillectomy," Journal of paediatrics and child health, vol. 53, pp. 1065-1070, 2017.
  2. M. F. Hasan, W. F. Hussein, A. M. Tiryag, I. J. Ali, and Z. M. Shaker, "Nurses’ Knowledge Toward Lower Back Pain: A Cross-Sectional Study," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 10363-10.21070/acopen. 9.2024. 10363, 2024.
  3. R. A. McNeill, "A history of tonsillectomy: two millenia of trauma, haemorrhage and controversy," The Ulster medical journal, vol. 29, p. 59, 1960.
  4. F. A. Jassim, A. M. Tiryag, and S. S. Issa, "Effect of Bad Habits on the Growth of School Students: A Cross-Sectional Study," Indonesian Journal on Health Science and Medicine, vol. 1, pp. 10.21070/ijhsm. v1i2. 26-10.21070/ijhsm. v1i2. 26, 2024.
  5. B. K. Erickson, D. R. Larson, J. L. St. Sauver, R. A. Meverden, and L. J. Orvidas, "Changes in incidence and indications of tonsillectomy and adenotonsillectomy, 1970-2005," Otolaryngology—Head and Neck Surgery, vol. 140, pp. 894-901, 2009.
  6. S. K. Jassim, Z. Abbass, and A. M. Tiryag, "A Study of Diabetes Correlated Emotional Distress among Patients with Type 2 Diabetes Mellitus: A cross Sectional Study," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 10292-10.21070/acopen. 9.2024. 10292, 2024.
  7. A. H. Tran, R. S. Horne, J. Rimmer, and G. M. Nixon, "Adenotonsillectomy for paediatric sleep disordered breathing in Australia and New Zealand," Sleep medicine, vol. 78, pp. 101-107, 2021.
  8. Z. Abbass, S. K. Jassim, A.-F. Sadeq, S. Hafedh, A. M. Tiryag, and H. H. A. AL-Hadrawi, "Determination of Self-Efficacy Level: The Capacity of Patients with Hypertension to Manage their Chronic Disease," Indonesian Journal on Health Science and Medicine, vol. 1, pp. 10.21070/ijhsm. v1i2. 15-10.21070/ijhsm. v1i2. 15, 2024.
  9. A. I. Gill, E. Schaughency, and B. C. Galland, "Prevalence and factors associated with snoring in 3-year olds: early links with behavioral adjustment," Sleep medicine, vol. 13, pp. 1191-1197, 2012.
  10. J. A. Pena-Zarza, B. Osona-Rodriguez de Torres, J. A. Gil-Sanchez, and J. Figuerola-Mulet, "Utility of the pediatric sleep questionnaire and pulse oximetry as screening tools in pediatric patients with suspected obstructive sleep apnea syndrome," Sleep Disorders, vol. 2012, p. 819035, 2012.
  11. P. S. Roland, R. M. Rosenfeld, L. J. Brooks, N. R. Friedman, J. Jones, T. W. Kim, et al., "Clinical practice guideline: polysomnography for sleep‐disordered breathing prior to tonsillectomy in children," Otolaryngology–Head and Neck Surgery, vol. 145, pp. S1-S15, 2011.
  12. M. A. Mohammad, F. A. Jassim, and A. M. Tiryag, "Single-use flexible ureteroscope for the treatment of renal stone," Revista Latinoamericana de Hipertension, vol. 18, 2023.
  13. C. L. Marcus, R. H. Moore, C. L. Rosen, B. Giordani, S. L. Garetz, H. G. Taylor, et al., "A randomized trial of adenotonsillectomy for childhood sleep apnea," New England Journal of Medicine, vol. 368, pp. 2366-2376, 2013.
  14. M. Mohammad, F. Jassim, and A. Tiryag, "Retrograde Intrarenal Lithotripsy Using Disposable Flexible Ureteroscope," Georgian Medical News, vol. 348, pp. 44-46, 2024.
  15. R. P. Venekamp, B. J. Hearne, D. Chandrasekharan, H. Blackshaw, J. Lim, and A. G. Schilder, "Tonsillectomy or adenotonsillectomy versus non‐surgical management for obstructive sleep‐disordered breathing in children," Cochrane Database of Systematic Reviews, 2015.
  16. A. A. A. Al-Iedan, M. A. Akber, S. B. Dawood, A. I. H. Alobaidi, S. S. Issa, H. H. A. Raaoof, et al., "Bridging the Gap: Enhancing Open Fracture Care in Emergency Nursing," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 8847-10.21070/acopen. 9.2024. 8847, 2024.
  17. K. A. Waters, J. Chawla, M.-A. Harris, C. Dakin, H. Heussler, R. Black, et al., "Rationale for and design of the" POSTA" study: Evaluation of neurocognitive outcomes after immediate adenotonsillectomy compared to watchful waiting in preschool children," BMC pediatrics, vol. 17, pp. 1-7, 2017.
  18. M. A. Mohammad, A. Y. Al-Timary, and A. M. Tiryag, "Safety of Tubeless Double Access Percutaneous Nephrolithotomy Compared to Single Access Approach," Bahrain Medical Bulletin, vol. 45, 2023.
  19. J. Wood, M. Cho, and A. Carney, "Role of subtotal tonsillectomy (‘tonsillotomy’) in children with sleep disordered breathing," The Journal of Laryngology & Otology, vol. 128, pp. S3-S7, 2014.
  20. K. M. Jassim, A. S. Khudhair, Z. S. Dawood, and A. M. Tiryag, "Nurses’ knowledge about electrocardiogram interpretation: A cross-sectional study," Rawal Medical Journal, vol. 48, pp. 850-850, 2023.
  21. R. F. Baugh, S. M. Archer, R. B. Mitchell, R. M. Rosenfeld, R. Amin, J. J. Burns, et al., "Clinical practice guideline: tonsillectomy in children," Otolaryngology–head and neck surgery, vol. 144, pp. S1-S30, 2011.
  22. S. I. G. Network, "Management of sore throat and indications for tonsillectomy," A National Clinical Guideline 34, 1999.
  23. J. L. Paradise, C. D. Bluestone, R. Z. Bachman, D. K. Colborn, B. S. Bernard, F. H. Taylor, et al., "Efficacy of tonsillectomy for recurrent throat infection in severely affected children: results of parallel randomized and nonrandomized clinical trials," New England Journal of Medicine, vol. 310, pp. 674-683, 1984.
  24. M. Jabbar, M. Mohammad, and A. Tiryag, "CHANGES IN MALE REPRODUCTIVE HORMONES IN PATIENTS WITH COVID-19," Georgian Medical News, pp. 42-46, 2023.
  25. M. J. Burton, P. P. Glasziou, L. Y. Chong, and R. P. Venekamp, "Tonsillectomy or adenotonsillectomy versus non‐surgical treatment for chronic/recurrent acute tonsillitis," Cochrane Database of Systematic Reviews, 2014.
  26. J. Powell and J. Wilson, "An evidence‐based review of peritonsillar abscess," Clinical otolaryngology, vol. 37, pp. 136-145, 2012.
  27. M. S. Hwang, K. E. Kaye, J. A. Waxman, and M. Friedman, "What is the best management of asymptomatic unilateral tonsillar enlargement?," The Laryngoscope, vol. 125, pp. 2438-2440, 2015.
  28. H. H. Abdul-Ra’aoof, A. M. Tiryag, and M. A. Atiyah, "Knowledge, Attitudes, and Practice of Nursing Students about Insulin Therapy: A Cross-Sectional Study," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 8795-10.21070/acopen. 9.2024. 8795, 2024.
  29. R. C. o. S. o. E. C. E. Unit, National prospective tonsillectomy audit: final report of an audit carried out in England and Northern Ireland between July 2003 and September 2004: Royal College of Surgeons of England, 2005.
  30. M. A. Akber, A. M. Tiryag, and A. Alobaidi, "Nurses’ Knowledge Concerning Developmental Dysplasia of the Hip: A Cross-Sectional Study," American Journal of Pediatric Medicine and Health Sciences, vol. 2, pp. 155-160, 2024.
  31. D. K. Pinder, H. Wilson, and M. P. Hilton, "Dissection versus diathermy for tonsillectomy," Cochrane Database of systematic reviews, 2011.
  32. M. A. Mohammad, H. H. Abdul-Ra’aoof, K. A. Razzaq Manahi, and A. M. Tiryag, "Parents’ Knowledge and Attitudes toward Testicular Torsion," Bahrain Medical Bulletin, vol. 46, 2024.
  33. R. F. Leinbach, S. J. Markwell, J. A. Colliver, and S. Y. Lin, "Hot versus cold tonsillectomy: a systematic review of the literature," Otolaryngology—Head and Neck Surgery, vol. 129, pp. 360-364, 2003.
  34. A. M. Tiryag, S. B. Dawood, and S. K. Jassim, "Nurses’ knowledge and attitudes about enteral feeding complications by nasogastric tube in intensive care units," Rawal Medical Journal, vol. 48, pp. 689-689, 2023.
  35. R. Mösges, M. Hellmich, S. Allekotte, K. Albrecht, and M. Böhm, "Hemorrhage rate after coblation tonsillectomy: a meta-analysis of published trials," European Archives of Oto-Rhino-Laryngology, vol. 268, pp. 807-816, 2011.
  36. M. A. Akber, A. M. Tiryag, and A. I. H. Alobaidi, "Nurses’ Knowledge Regarding Cast Complications of Limb Fractures: A Cross-Sectional Study," Central Asian Journal of Medical and Natural Science, vol. 5, pp. 195-200, 2024.
  37. A. Hoey, N. Foden, S. Hadjisymeou Andreou, F. Noonan, A. Chowdhury, S. Greig, et al., "Coblation® intracapsular tonsillectomy (tonsillotomy) in children: a prospective study of 500 consecutive cases with long‐term follow‐up," Clinical Otolaryngology, vol. 42, pp. 1211-1217, 2017.
  38. E. H. Rahi, Z. M. H. Al-Hejaj, and A. M. Tiryag, "Nurses' Knowledge of Nonalcoholic Fatty Liver Disease: A Cross-Sectional Study," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 10306-10.21070/acopen. 9.2024. 10306, 2024.
  39. J. L. Acevedo, R. K. Shah, and S. E. Brietzke, "Systematic review of complications of tonsillotomy versus tonsillectomy," Otolaryngology--Head and Neck Surgery, vol. 146, pp. 871-879, 2012.
  40. H. M. Sabty, S. B. Dawood, and A. M. Tiryag, "Nurses’ Knowledge and Practices on Influenza Vaccination for Pregnant Women," Jurnal Kebidanan Midwiferia, vol. 10, pp. 50-59, 2024.
  41. S. R. Lewis, A. Nicholson, M. E. Cardwell, G. Siviter, and A. F. Smith, "Nonsteroidal anti‐inflammatory drugs and perioperative bleeding in paediatric tonsillectomy," Cochrane Database of Systematic Reviews, 2013.
  42. A. M. Tiryag, "Revitalizing Hearts: The Transformative Impact of Pacemaker Therapy on Cardiac Conduction Disorders," Academia Open, vol. 9, pp. 10.21070/acopen. 9.2024. 8845-10.21070/acopen. 9.2024. 8845, 2024.
  43. L. E. Kelly, M. Rieder, J. van den Anker, B. Malkin, C. Ross, M. N. Neely, et al., "More codeine fatalities after tonsillectomy in North American children," Pediatrics, vol. 129, pp. e1343-e1347, 2012.
  44. H. H. Abdul-Ra’aoof, M. A. Akber, F. A. Jassim, A. M. Tiryag, S. S. Issa, M. A. Atiyah, et al., "The Psychological Impact of Violence on Emergency Department and Intensive Care Unit Nurses: A Cross-Sectional Study," Research Journal of Trauma and Disability Studies, vol. 3, pp. 228-233, 2024.
  45. J. Windfuhr, K. Savva, J. Dahm, and J. Werner, "Tonsillotomy: facts and fiction," European Archives of Oto-Rhino-Laryngology, vol. 272, pp. 949-969, 2015.
  46. I. Zainel, H. Abdul-Ra'aoof, and A. Tiryag, "Mothers' Knowledge and Attitudes towards her Children with Neonatal Jaundice: A Cross-Sectional Study," Health Education and Health Promotion, vol. 10, pp. 565-570, 2022.
  47. M. Tingle, "Predicting and Preventing Adverse Drug Reactions and Interactions."
  48. H. H. Abdul-Ra’aoof, S. B. Dawood, F. A. Jassim, S. K. Jassim, S. S. Issa, M. A. Akber, et al., "Moderate proficiency in suture techniques among nurses: A cross-sectional study," Journal of Nursing Education and Practice, vol. 14, pp. 50-58, 2024.
  49. M. Dhiwakar, W. Clement, M. Supriya, and W. McKerrow, "Antibiotics to reduce post‐tonsillectomy morbidity," Cochrane Database of Systematic Reviews, 2008.
  50. A. M. Tiryag and H. H. Atiyah, "Nurses’ Knowledge toward Bariatric Surgery at Surgical Wards at Teaching Hospitals in Al-Basra City," Indian Journal of Forensic Medicine & Toxicology, vol. 15, pp. 5152-5159, 2021.