Top Five Myths of Tonsillectomy

What are your thoughts about tonsillectomy? A recent survey by the American Association of Otolaryngology–Head and Neck Surgery (AAO-HNS)* found that there are a number of misconceptions about tonsillectomy. Here are the five most common:

Myth #1: Doctors don’t remove tonsils anymore.
Fact: Tonsillectomy is the second most common childhood surgery. Approximately 600,000 tonsillectomies are performed each year for children and adults.

Myth #2: Tonsils are mainly removed for sore throats and tonsillitis.
Fact: 75% of tonsillectomies are performed to treat obstructive sleep disorders.1

Myth #3: A child will be in pain for as much as two weeks after a tonsillectomy.
Fact: Several studies show that with advanced low-temperature methods such as bipolar radiofrequency (RF), and ultrasonic dissection tonsillectomy, pain and recovery time are far less than with older, high-temperature technology such as electrocautery.2 RF tonsillectomy transfers low-temperature (40-70°C) energy to a saline solution to remove tonsils and adenoids by gradually breaking down the tissue. Electrocautery uses heat (400°C) generated by an electrical current to burn through the tissue. Also subtotal tonsillectomies have been shown to be much less painful than traditional tonsillectomies.

Myth #4: After a tonsillectomy, a child can only eat ice cream
Fact: With methods such as electrocautery recovery can take up to 2 weeks. Low-temperature methods such as bipolar RF tonsillectomy allows children to return to a normal diet on an average of 3 times faster—while also reducing the risk of dehydration and weight loss.2,3

Myth #5: Tonsillectomies have been performed the same way for decades.
Fact: Scalpels and high-temperature technology are still used, but over the last several years, low-temperature technology and partial tonsillectomy have been shown to cause less pain, shorten recovery time, and require less postoperative narcotics than electrocautery methods that remove the tonsils by burning.2,3

The information provided here is not intended or recommended as a substitute for professional medical advice. Always discuss any symptoms or treatment options with your primary care physician or an ENT specialist to review whether you or a loved one may be a candidate for a tonsillectomy.

  1. www.entnet.org/KidsENT/apnea.cfm
  2. Stoker KE, Don DM, Kang DR, et al. Pediatric total tonsillectomy using Coblation compared to conventional electrosurgery: a prospective, controlled single-blind study. Ontolaryngol Head Neck Surg. 2004; 130(6):666-675.
  3. Temple RH, Timms MS. Paediatric Coblation Tonsillectomy. International Journal of Pediatric Otorhinolaryngology. 2001; 61:195-198.

* The AAO–HNS is the world’s largest organization representing specialists who treat the ear, nose, throat, and related structures of the head and neck. The AAO-HNS represents more than 12,000 otolaryngologists–head and neck surgeons.




Dr. Dolitsky dispels the common myths behind tonsillectomy


Tonsillectomy technology is changing.

New low-temperature procedures may reduce pain and recovery time.


Dr. Dolitsky dispels the common myths behind tonsillectomy


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Tonsillectomy technology is changing.

New low-temperature procedures may reduce pain and recovery time.