Most tonsil operations 'needless'

"MSEagan" wrote in message news:W0q0d.17731$MQ5.10602@attbi_s52...
My 18 year old son has developed very large tonsils. His throat does not
hurt (anymore) and all his blood work has come out fine, but he used to be a
very good competitive swimmer and he started complaining of fatigue and
inability to breathe (even with his inhaler) this past winter. I looked in
his throat and was amazed he had any room to breathe. The ENT doc is trying
him on a corticosteroid nasal spray to see if this might shrink things. One
side looks like it may have come down. But, I don't know if surgery is
something we should consider. Is there anyway they can do a biopsy of his
tonsils to see if an infection is hiding? Would it be worth a try to give
him a course of antibiotics in case there is a bacteria in there? I am just
not sure what we should do if things stay swollen. He does not snore. This
new study certainly gives me more reason to continue to watch without
cutting.

Marianne

"john" wrote in message
...



"Tonsillectomies have become common procedures in the West, with 45,000 in
Britain every year...Adenotonsillectomies - where both the tonsils and
adenoids are removed - were performed on 115 of every 10,000 children in
Holland, but only 50 per 10,000 in the 1998. In Britain the rate was 65
per
10,000 children. The Dutch researchers ....found rates of fever were lower
during the first six months after an operation. But from then on, there
were
no differences between the two groups. Writing in the online version the
British Medical Journal, they concluded that the operation 'little
clinical
benefit'. "

Most tonsil operations 'needless'

Daily mail 10 Sept 2004

TOO many needless tonsil operations are being carried out, according to a
study published yesterday.

Tonsillectomies have become common procedures in the West, with 45,000 in
Britain every year.

But doctors are being far too hasty to use them to treat minor throat
infections claim researchers, and simply waiting see how a child's
condition
develops is often just as effective.

The study highlighted big variations in the number of operations carried
out
between countries.

Adenotonsillectomies - where both the tonsils and adenoids are removed -
were performed on 115 of every 10,000 children in Holland, but only 50 per
10,000 in 1998. In Britain the rate was 65 per 10,000 children. The Dutch
researchers monitored 300 two to eight-year -olds, of whom half had
surgery
and half were subject to 'watchful waitng', over two years.

They found rates of fever were lower during the first six months after an
operation. But from then on, there were no differences between the two
groups.

Writing in the online version the British Medical Journal, they concluded
that the operation 'little clinical benefit'.



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