Patient discussion about adenoidal hypertrophy

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Q. When should the tonsils and/or adenoids should be removed?

ACurrently the tonsillectomy is recommended in the presence of 6 episodes of throat infection (Group A strep pharyngitis) in one year or 3-4 episodes in each of 2years. Adenoidectomy may be recommended when tympanostomy tube surgery (http://en.wikipedia.org/wiki/Tympanostomy_tube) failed to prevent ear infection.

Another thing to consider is the presence of oral breathing - the constant use of the mouth for breathing in small children may lead to malformation of the facial bones that would necessitate more extensive surgeries later in life.
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