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Updated: Aug 15, 2026
05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Adenotonsillectomy in children only under exceptional circumstances]
W J H M van den Bosch1, E H van de Lisdonk
1Universitair Medisch Centrum St Radboud, afd. Huisartsgeneeskunde, Postbus 9101, 6500 HB Nijmegen. w.vandenbosch@hag.umcn.nl
Nederlands Tijdschrift Voor Geneeskunde
|September 28, 2005
Summary
Adenotonsillectomy may not be valuable for children with frequent throat infections or enlarged tonsils/adenoids. Surgery is only indicated for severe symptoms, not moderate ones.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Adenotonsillectomy is a common procedure for pediatric upper airway conditions.
- Growing evidence questions its efficacy for certain indications.
Purpose of the Study:
- To evaluate the indications and value of adenotonsillectomy in children.
- To determine the relationship between objective and subjective symptoms.
Main Methods:
- Review of current evidence regarding adenotonsillectomy outcomes.
- Analysis of the correlation between tonsil/adenoid size and patient-reported symptoms.
Main Results:
- The value of adenotonsillectomy is increasingly questioned for frequent throat infections and hypertrophy.
- Objective findings (tonsil size) do not always correlate with subjective symptoms (obstruction, sore throat).
Conclusions:
- Adenotonsillectomy has limited indications.
- Children with moderate symptoms, even with enlarged tonsils/adenoids, may not benefit from surgery.
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