Abstract
This paper aims at defining the #therapeutic role of
#(adeno)tonsillectomy in children affected by recurrent #acute tonsillitis
(RAT), and at drawing some practical implications based on the current
evidence. A literature search was performed to find pertinent study
accessible by means of a MEDLINE search (accessed via PubMed). 15 papers
were selected for literature analysis. The evidence suggests that
although significant, the effect of tonsillectomy in children with
moderate to severe RAT is modest and limited to 12 months
post-operatively. In the case of patients with mild symptoms, it seems
that the benefits are not sufficient to balance the disadvantages of the
procedure. This can be explained by the fact that the procedure is
#intrinsically characterised by #pharyngeal pain and that the surgical
removal of a palatine tonsil does not exclude the subsequent onset of
successive episodes of pharyngitis. An analysis of the literature
indicates that the efficacy of (adeno)tonsillectomy in treating #pediatric RAT is generally limited and relatively transient.
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