The document outlines the indications for tonsillectomy and divides them into three categories: absolute, relative, and as part of another operation. Absolute indications include recurrent throat infections, peritonsillar abscesses, tonsillitis causing febrile seizures, and tonsil hypertrophy causing airway obstruction or difficulty swallowing. Relative indications include being a carrier of diphtheria or streptococcus. Tonsillectomy may also be performed as part of another operation like palatopharyngoplasty for sleep apnea or glossopharyngeal neurectomy.

1. INDICATIONS FOR
TONSILLECTOMY
BY:
Nikhil Bansal
J.N.M.C.,Wardha

2. They are divided into:
A) Absolute:
1. Recurrent infection of Throat:
a) Seven or more episodes in one year
b) Five episodes per year for 2 years
c) Three episodes per year for 3 years
d) Two week or more of lost school or work in one year
2. Peritonsillar abscess:
3. Tonsillitis causing febrile seizures

3. 4. Hypertrophy of tonsils causing
 Airway obstruction
 Difficulty in deglutition
 Interference with speech
5. Suspicion of malignancy
B. Relative
1. Diphtheria carriers, who do not respond to antibiotics.
2.Streptococcal carriers, who may be the source of infection
to others.
3. Chronic tonsillitis with bad taste which is unresponsive to
medical treatment.
4. Recurrent streptococcal tonsillitis in a patient with valvular
heart disease.

4. C) As a Part of Another Operation:
a) Palatopharyngoplasty which is done for sleep apnoea
syndrome.
b) Glossopharyngeal neurectomy.
c) Removal of styloid process.