I. Local :
1. Chronic tonsillitis : Patients having recurrent attacks of acute tonsillitis of more than 4-6 attacks per year.
2. Peritonsillar abscess (Quinsy) : 4 weeks after drainage of the Quinsy, tonsillectomy is advocated.
3.Sleep apnoea syndrome due to enlarged tonsils
6. Suspected foreign body in the tonsil
7. Malignancy of the tonsil
8. As an approach for styloid process excision
II. Focal :
1. Persistent enlarged jugulodigastric lymph nodes
2. Chronic otitis media where the infection travels in the middle via the Eustachian tube.
III. General :
1. Rheumatic heart disease
3. Rheumatic arthritis
5. Failure to thrive in children.
6.Low weight poor immunity due to recurrentURTI
- Acute tonsillitis : Active infection of the tonsils or upper respiratory tract infection increases the risk of haemorrhage and pulmonary complications due to general anaesthesia.
- General :
- Age : Tonsillectomy is not done before 5 years of age due to :
- Immune functions of the tonsils
- Blood Loss during the surgery can cause hypovolemic shock
- Tropical eosinophilia
- Poliomyelitis : Tonsillectomy increases the risk of bulbar poliomyelitis
- Active tuberculous infection
- Oral contraceptives : They increase the chances of deep vein thrombosis and hence must be stopped prior to surgery.