Intended for healthcare professionals

Practice Uncertainties

Is tonsillectomy recommended in adults with recurrent tonsillitis?

BMJ 2017; 357 doi: https://doi.org/10.1136/bmj.j1450 (Published 13 April 2017) Cite this as: BMJ 2017;357:j1450

Tonsillectomy is recommended in adults with recurrent tonsillitis but it does not prevent Rheumatic fever and its complications

Jason Powell et al write that to get rid of ill health and pain due to recurrent tonsillitis, it is worthwhile to get total tonsillectomy done in adults. However, a very old paper by Chamovitz et al says that it does not prevent sore throats due to group A streptococcus (study was done on military men from 1949 to 1954) and hence rheumatic fever and its complications like valvular diseases.

Reference:
1: CHAMOVITZ R, RAMMELKAMP CH Jr, WANNAMAKER LW, DENNY FW Jr. The effect of
tonsillectomy on the incidence of streptococcal respiratory disease and its
complications. Pediatrics. 1960 Sep;26:355-67.

Competing interests: No competing interests

17 April 2017
Neeru Gupta
Scientist F
KK Jani, Jugal Kishore, Akshun Jani.
Indian Council of Medical Research
Ansari Nagar, New Delhi-110029.