Question

The child frequently needs antibiotics or intravenous therapy to recover. The tonsils are organs of the autoimmune system, and frequent inflammation can lead to fever or high fever. How might this situation improve with removal? But what disturbances does it cause to the body?

Answer

Indications for tonsillectomy include: (1) recurrent chronic tonsillitis; (2) history of peritonsillar abscess; (3) tonsils that are excessively large, obstructing swallowing and breathing, leading to nutritional impairment or causing significant snoring and choking in children; (4) rheumatic fever, arthritis, rheumatic heart disease, where there is suspicion that the tonsils are a focus; (5) tonsillitis and adenoid hypertrophy that interfere with the function of the eustachian tube, leading to chronic serous otitis media that has not responded to strict treatment; (6) prolonged low-grade fever with chronic tonsillitis; (7) IgA nephropathy, where there is suspicion that the tonsils are a focus; (8) various benign tumors of the tonsils, while malignant tumors should be carefully considered.