It is true that the tonsils and adenoids are an immune organ, but if they are constantly inflamed, or if they cause snoring or breath-holding in the child’s sleep and affect the child’s development, they must be removed. Besides, there are other immune organs that can replace the immune function of tonsils and adenoids after removal. There is no scientific basis for the statement that the child’s immunity will decrease after removal.
The following are the indications and contraindications for this surgery: Indications: 1. Repeated acute attacks of chronic tonsillitis or repeated concurrent peri-tonsillar abscesses.
2. Excessive tonsillar hypertrophy, which hinders swallowing, respiratory function and slurred speech.
3.Chronic tonsillitis has become a lesion causing lesions in other organs or associated with lesions in neighboring tissues and organs.
4.Tonsillar keratosis and diphtheria with bacteria, when conservative treatment is ineffective.
5.Benign tumors of the tonsils can be removed together with the tonsils; for malignant tumors, the indications and scope of surgery should be carefully selected.
Contraindications: 1. In acute tonsillitis, surgery is generally not performed, and it is advisable to remove the tonsils 2 to 3 weeks after the inflammation subsides.
2, hematopoietic system diseases and coagulation mechanism disorders, such as aplastic anemia, thrombocytopenic purpura, allergic purpura, etc., generally do not perform surgery. Exceptions are those who are in a position to perform thorough preoperative examination and proper preoperative and postoperative treatment.
Systemic diseases, such as tuberculosis, rheumatic heart disease, arthritis, nephritis, etc., should not be operated when the condition is not yet stable. Patients with uncontrolled hypertension should not undergo surgery to avoid bleeding.
4. Surgery is not recommended during the epidemic season of respiratory infectious diseases such as polio and influenza or in endemic areas, as well as when other acute infectious diseases are prevalent.
5. Surgery is not recommended for women during menstruation and premenstruation, or during pregnancy.
6. Surgery is not recommended for patients with immunoglobulin deficiency or high prevalence of autoimmune diseases in their families and particularly low white blood cell counts.