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Research ArticleEvidence-Based Clinical Medicine

Current Indications for Tonsillectomy and Adenoidectomy

David A. Randall
The Journal of the American Board of Family Medicine November 2020, 33 (6) 1025-1030; DOI: https://doi.org/10.3122/jabfm.2020.06.200038
David A. Randall
 
MD
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    Table 1.

    Practice Recommendations with SORT Strengths1

    RecommendationStrength
    Referral for tonsillectomy is appropriate for children having 7 bouts of tonsillitis in 12 months, 5 annual bouts for 2 years, or 3 annual bouts for 3 years. Watchful waiting is indicated for lesser frequency.SORT: A1
    Tonsillectomy may reasonably be offered to children having fewer infections given certain modifying factors.SORT: B1
    Tonsillectomy or adenotonsillectomy should be recommended for pediatric obstructive sleep - disordered breathing felt due to adenoid or tonsillar hypertrophy.SORT: A1
    Tonsillectomy has shown benefit for adults with recurrent tonsillitis.SORT: B2,3
    Tonsillectomy/adenotonsillectomy may be indicated in adults with sleep disordered breathing and tonsil hypertrophy.SORT: C4
    Adenoidectomy may be considered for chronic middle ear effusion and recurrent otitis media in children.SORT: B5–8
    Tonsillectomy may be considered for poorly validated indications such as chronic tonsillitis, febrile seizures, muffled speech, halitosis, malocclusion, tonsillar hypertrophy, cryptic tonsils, and chronic pharyngeal carriage of group A β hemolytic Streptococcus (GABHS).SORT: C1
    • SORT, Strength of Recommendation Taxonomy

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The Journal of the American Board of Family     Medicine: 33 (6)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 6
November-December 2020
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Current Indications for Tonsillectomy and Adenoidectomy
David A. Randall
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1025-1030; DOI: 10.3122/jabfm.2020.06.200038

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Current Indications for Tonsillectomy and Adenoidectomy
David A. Randall
The Journal of the American Board of Family Medicine Nov 2020, 33 (6) 1025-1030; DOI: 10.3122/jabfm.2020.06.200038
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  • Article
    • Abstract
    • Introduction
    • Recurrent Tonsillitis
    • Recurrent Peritonsillar Abscess
    • Pediatric OSDB
    • Enuresis
    • Adult Obstructive Sleep Apnea
    • Suspicion of Malignancy
    • Malocclusion
    • Alteration in Speech and Swallowing
    • Otitis Media with Effusion
    • Recurrent AOM
    • Pediatric Rhinosinusitis and Nasal Obstruction
    • PFAPA Syndrome
    • Psoriasis
    • Halitosis
    • Conclusions
    • Notes
    • References
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Keywords

  • Adenoidectomy
  • Adenoids
  • Hypertrophy
  • Obstructive Sleep Apnea
  • Otolaryngology
  • Streptococcal Infections
  • Tonsillectomy
  • Tonsils

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