Indications for tonsillectomy

Absolute:

• biopsy in selected malignancy

Relative (1):

• watchful waiting is more appropriate than tonsillectomy for children with mild sore throats
• tonsillectomy is recommended for recurrent severe sore throat in adults
• the following are recommended as indications for consideration of tonsillectomy for recurrent acute sore throat in both children and adults:
  • sore throats are due to acute tonsillitis
    
    
  • the episodes of sore throat are disabling and prevent normal functioning
    
    
  • seven or more well documented, clinically significant, adequately treated sore throats in the preceding year or
    
    
    • five or more such episodes in each of the preceding two years or
      
      
    • three or more such episodes in each of the preceding three years

Reference:

• SIGN (April 2010). Management of sore throat and indications for tonsillectomy