Shawn Ciecko MD -Otolaryngologist, Medical School at University of Buffalo, Resident in Otolaryngology Head and Neck Surgery at the Duke University Medical Center, ENTandAllergy Associate speaks of the reason's behind Tonsillectomy
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Male: —as a practice, you turned five years old, you're ready for TNA. Shawn C. Ciecko: Sure. Male: Not anymnore. There was a study in—it was in February that said 82% of those TNAs were unnecessary. What's the current thinking about tonsillectomy surgery. Shawn C. Ciecko: We have cut back as a group,—has cut back as a group significantly in the amount of tonsillectomies performed. Right now that the current indications for tonsillectomy, there are absolute indications, times when you absolutely should take the tonsils—there are times that we have relative indications which means you should start to think about taking them up, the absolute indications, specifically in children are destructive sleep apnea, risk of malignancy, in other words if you thought there was a tumor, which is very rare, it happens in adults more than it does in children, recurrent tonsil or hemorrhage which is also very rare, those are the main, absolute indications, times you should really think about taking the tonsils out. The relative indications are ones that we say to ourselves we have to take the whole picture into place, think about the child, what's going on with them and decide whether we needed to address that surgically. Recurrent infections of the tonsils are the big one and that the current thinking is if you have seven infections in one year, five infections per year for two consecutive years or three infections per year for three consecutive years that are requiring antibiotics and are usually infections, that’s a relative indication to think about tonsillitis.

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