Tonsillectomy | Purpose, Contraindications, Procedure, Recovery and Complications

Guidelines pearls

The American academy of otolaryngology head and neck surgery foundation recommends an evidence-based guidelines for every step-in tonsillectomy surgery in the children aging from one- year- old to eighteen -year- old.

The recommendation include:

  • The clinician should wait and monitor their patients for recurrent upper airway infections if the attacks was
    • less than seven attacks in the previous year
    • less than five attacks per year in the previous two years
    • less than three attacks per year in the previous three years
  • Single dose intravenous dexamethasone is recommended for children during tonsillectomy
  • Clinician should prescribe oral pain medication such as ibuprofen, acetaminophen, or both for pain managements after tonsillectomy
  • Antibiotic administration has an effective role in decrease post operative co-morbidities