[Indications for tonsillectomy in 2005].
Tonsillectomy is one of the most frequent ENT operations but yet a very disputed one. The majority of children and adults are treated for recurrent angina, which is validated by several clinical trials. For an adult a peritonsillar abscess is best treated by immediate tonsillectomy. Incision and drainage is a validated method as well, as long as there is no indication to a delayed tonsillectomy. The tonsillectomy alone is not a validated treatment for adult upper airway obstruction. On the other hand it is a recommended procedure for children upper airway obstruction. Partial tonsillectomy (tonsillotomy) is also a validated procedure for this indication. Finally the peritonsillar abscess in a child should first be treated by one or two days of intravenous antibiotics.
Schroeder
D
D
Service ORL, CHUV, Lausanne. Daniel.Schroeder@chuv.ch
Waridel
F
F
Cherpillod
J
J
D000038:Abscess / Q000601:surgery*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D006801:Humans; D014066:Palatine Tonsil / Q000382:microbiology / Q000473:pathology* / Q000601:surgery; D014068:Tonsillectomy; D014069:Tonsillitis / Q000188:drug therapy / Q000601:surgery
D000900:Anti-Bacterial Agents