A tonsillectomy is surgery to remove the tonsils. Tonsils are lumps of tissue on
both sides of the back of the throat that help the immune
system protect the body from infections.
Tonsillectomy (tahn-suh-LEK-tuh-mee) is one of the most common surgeries kids and
teens get. But they're done less often than in the past. Health experts now recommend
watching and waiting because large tonsils often shrink on their own over time.
Why Are Tonsillectomies Done?
Kids usually have a tonsillectomy because:
Their tonsils are so big they block the airway and make it hard to breathe.
Swollen tonsils can make it hard to breathe, especially during sleep. A child might
snore and stop breathing for short periods while asleep when the tonsils get in the
way. This is called obstructive
sleep apnea. Apnea can make kids miss out on healthy, restful sleep,
which can lead to learning, behavior, growth, and heart problems.
Their tonsils get infected often. A health care provider might
recommend removing the tonsils if a child gets a lot of tonsil infections (called
define "a lot" as when a doctor diagnoses a child with at least 7 infections a year,
or more than 5 infections a year for 2 years in a row.
What Happens Before a Tonsillectomy?
Your health care provider will let you know if your
child should stop taking any medicine in the week or two before the surgery. You'll
also be told when your child should stop eating and drinking because the stomach must
be empty on the day of the procedure.
Surgery, no matter how common or simple, can be scary for kids. Help prepare your
child by talking about what to expect.
What Happens During a Tonsillectomy?
An ear, nose, and throat (ENT) surgeon will do the surgery while your child is
under general anesthesia.
This means an anesthesiologist will keep your child safely and comfortably asleep
during the procedure.
The surgery is done through your child's open mouth. There are no cuts through
the skin and no visible scars.
The two main types of tonsillectomy surgery are:
Traditional tonsillectomy: Both tonsils are completely removed.
Intracapsular tonsillectomy: The surgeon removes all the affected
tonsil tissue, but leaves a small layer to protect the throat muscles underneath.
There's a very slight chance that the remaining tissue can re-grow or become infected
and need more tonsil surgery, but this isn't common. With this type of surgery,
have less pain
don't need as much pain medicine
have a lower risk of bleeding
are better able to eat and drink after the procedure
Can I Stay With My Child During a Tonsillectomy?
Usually, parents can stay with their child until the anesthesiologist gives medicine.
Then you'll go to a waiting area until the surgery is over.
How Long Does a Tonsillectomy Take?
A tonsillectomy usually takes about 20 to 30 minutes, though it can take a little
What Happens After the Tonsillectomy?
Your child will wake up in the recovery area. Many kids go home the same day, though
some may stay overnight. In general, kids under 3 years old and those with serious
sleep problems (like apnea) usually stay overnight.
Depending on the type of surgery done, recovery after a tonsillectomy may take
a week or more. Expect some pain and discomfort after the tonsils are removed, which
can make it hard for kids to eat and drink.
Are There Any Risks From Tonsillectomy?
There are risks with any surgery, including infection and problems with anesthesia.
Sometimes children get dehydrated
from not drinking enough when they go home, and may need to come back to the hospital
Rarely, bleeding might happen during the surgery, right after it, or up to 2 weeks
later. Call the doctor right away if your child coughs up, throws up, or spits out
bright red blood or blood clots. Doctors might need to do another procedure to stop
How Can I Help My Child Feel Better?
Give your child pain medicine as directed by your health care provider.
Kids should rest at home for a few days following surgery and take it easy for
a couple of weeks. They can return to school or childcare when they can eat normally,
are sleeping well, and don't need pain medicine.
Offer plenty to drink, and soft foods like pudding, soup, gelatin, or mashed potatoes
until your child is ready for solid foods.
Kids should avoid blowing their nose for 2 weeks after surgery, as well as any
rough playing or contact sports.