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Tonsils and Adenoids

Tonsils and Adenoids

The Tonsils are two masses of tissue found on either side of the back of the throat. The Adenoids are located high in the throat, behind the nose and roof of the mouth. Together they form part of the ring of glandular tissue at the back of the throat. The tonsils and adenoids assist the body in defending against infection by “sampling” entering bacteria and viruses and becoming infected themselves. They then help form antibodies to resist and fight future infections. Unfortunately, the tonsils and adenoids often become susceptible to recurrent bacterial infections and can even trigger airway obstruction.

Problems

Common problems afflicting the tonsils and adenoids include:

  • Chronic tonsillitis Persistent or recurrent infection of the tonsils
  • Peri-tonsillar abscess A collection of pus behind the tonsils that can lead to life-threatening complications if left untreated.
  • Chronic adenitisPersistent or recurrent infection of the adenoids.
  • Enlargement (hypertrophy) of tonsils and adenoids, which can obstruct breathing and lead to sleep irregularities, among other problems.

Treatment:

Bacterial infections of the tonsils and adenoids can be treated with various antibiotics. Surgical removal is considered when infections are resistant to medical therapy or frequently recur. “Frequent recurrence” is loosely defined as 5 episodes in a given year; 4 episodes per year for a two year period or 3 episodes per year for a three year period. Surgical removal of enlarged tonsils or adenoids is also considered in patients suffering from breathing or sleeping difficulty due to enlargement of the tonsils and /or adenoids. Surgical removal of the tonsils or adenoids does not decrease immunity or increase risk of future infection.