For children with recurrent acute tonsillitis, there is generally no controversy about the strategy of removing all the tonsils, but if tonsillar hypertrophy leads to long-term nocturnal snoring, breath-holding and open-mouth breathing, many parents are torn about whether to perform full removal of tonsils, and now I give you a reference based on many years of surgical experience: The advantages of partial removal of tonsils: 1, the pharyngeal pain of children after surgery is obviously light, mainly because The muscles and nerves around the tonsils are not damaged, and they are not stimulated by local inflammation and infection after surgery.
Disadvantages: 1. In our hospital experience, partial excision surgery often takes longer than full excision, and the corresponding inhalation anesthesia is more, but of course, more and less usually does not have too much effect on the body.
2, there is a high possibility of recurrence, there are reports in the literature that the recurrence rate of patients after partial excision is higher than that of total excision, which is more understandable, the child is in the growth period, there are always some children are too strong compensatory capacity, and grow back, this phenomenon is often seen in adult patients, when the removal of the palatine tonsils, some patients tongue tonsils, lymphatic tissue of the posterior pharyngeal wall will appear hyperplasia.
Advantages of total excision: 1. relatively fast surgery; 2. low recurrence rate after surgery; Disadvantages: 1. even if the application of the latest minimally invasive technology such as low-temperature plasma, some patients still have a lot of postoperative pain, of course, pain medication is available (but some parents do not allow it, I do not know why) 2. relatively slow recovery; Note: Special emphasis, tonsil surgery has more than a hundred years of history, there is no evidence that tonsillectomy will cause long-term immune deficiency in patients.