Current Operating Guidelines for Tonsillectomy in children may betoo rigid. Current guidelines for Tonsillectomyin children are - Seven or more sore throats during the previous year- Five or more sore throats two years running, or - Three or more sore throats for three years in a row However,in the current context we see that Enlarged Tonsils and Adenoids causing Sleep Disturbed Breathing (SDB) is a more frequent indication for Tonsil removal.
Accordingto a study published in the Journal ‘Pediatric’ in Jan 2024, co-author of the study Dr Chinnadurai, many more children would benefit from Tonsillectomy versus Watchful Waiting if criteria for sleep apnoea in children were included. Chinnadurai said kids who miss a lot of school or need frequent trips to the doctor due tosore throats could benefit from the surgery. There'san even clearer benefit for kids whose sleep is disturbed due to inflamed tonsils, Chinnadurai said."Ina child with a diagnosis of sleep apneoa, we can see a benefit in sleep-relatedquality of life," he said. The kids get better sleep, and thus exhibitbetter everyday behaviour and pay more attention in school.JournalPediatrics – 17 Jan 2024
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