Should tonsillar hypertrophy be removed during a child's physical examination?

Whether tonsillectomy is necessary for children with enlarged tonsils during physical examination depends on the specific condition. If there is repeated infection or respiratory function is affected, surgery is usually recommended. If there are no symptoms, priority observation can be given.

Enlargement of the tonsils is often caused by repeated inflammatory stimulation or physiological hyperplasia, manifested as symptoms such as foreign body sensation in the throat, snoring, and difficulty swallowing. If the symptoms occur more than 4 times a year and are accompanied by complications such as sleep apnea or otitis media, tonsillectomy can effectively alleviate the symptoms. Low temperature plasma ablation and traditional dissection are commonly used surgical procedures, with the former having less trauma and faster recovery. After surgery, attention should be paid to the risk of bleeding. Hard foods should be avoided within 24 hours, and vigorous exercise should be avoided for 2 weeks. If tonsillar hypertrophy does not affect quality of life, stimulation can be reduced by rinsing with saline, keeping the air moist, and avoiding contact with allergens. When combined with acute infection, use amoxicillin granules, cefaclor dry suspension and other antibiotics, or budesonide nasal spray to relieve nasal congestion according to medical advice. Daily exercise should be strengthened to enhance immunity and reduce the probability of respiratory infections.

Parents should regularly monitor their children's sleep quality and growth and development. If there is long-term mouth breathing, abnormal facial development, or decreased learning attention, they should promptly undergo a follow-up examination at the ENT department. The postoperative diet should gradually transition from liquid to soft foods, supplement with vitamin C to promote wound healing, and avoid spicy foods stimulating the wound.