Almond surgery in children: which treatment is right, jameda

An almond surgery is often necessary for frequent inflammations (© granata68 – fotolia) Inflammation or enlargement of the tonsils are a common problem in kindergarten or schoolchildren. They have to be operated on often. Which treatment method is the right one?

In principle, the tonsils can be surgically removed or reduced in size. Both methods have their place in modern medicine.

How can inflamed tonsils be treated??

If the tonsils repeatedly become inflamed, the so-called tonsillectomy is recommended. Complete almond removal is used when about five to six acute illnesses with antibiotic therapy occurred over a period of one year.

In childhood, the polyps are often removed at the same time. The aim is to reduce the incidence of diseases and to rule out the health consequences of chronic tonsillitis.

Tonsillectomy is usually associated with an inpatient hospital stay because postoperative pain and postoperative bleeding often occur.

How can enlarged almonds be treated??

Enlarged palatal tonsils can cause sleep problems because the airways are closed. In the clinical examination, the assessment of the tonsil size and the upper airway morphology is important.

Parents should pay attention to the following symptoms in sleeping children:

  • snoring
  • respiratory failure
  • night sweats
  • enuresis
  • restless movements in sleep
  • abnormal sleeping position
  • severely stretched head

These symptoms should be observed during the day:

  • Difficulty waking up
  • Irritability when awakened
  • hyperactivity
  • Attention and memory problems
  • daytime sleepiness
  • a headache
  • increased mouth breathing
  • growth retardation

Parts of the tonsils are removed during the tonsillotomy. The enlarged portion is reduced, but the feeding vessels are not touched. After the operation there are significantly fewer pain or bleeding events.

The procedure can be done on an outpatient basis or with a Short stay in the hospital. Various instruments such as lasers are used.

If the almonds are significantly enlarged, there is of course also the possibility to remove them completely. In my view, the downsizing is just as effective. It is also gentler on the child, since less pain is to be expected and bleeding is clear less common occurrence.


The study on almond reduction in repeated tonsillitis is just as good. As with tonsil removal, sore throats are less common postoperatively, so a tonsillotomy can be considered a surgical option. If at children Surgery on the tonsils is necessary, both surgical procedures that are possible today should be discussed.

This article is for general information only, not self-diagnosis and is not a substitute for a doctor’s visit. It reflects the opinion of the author and not necessarily that of jameda GmbH.


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Christina Cherry
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