Clinical Practice Guideline: Tonsillectomy in Children
This Clinical Practice Guideline is currently undergoing an update.
Update Leadership: Ron B. Mitchell, MD (Chair), Sanford M. Archer, MD (Assistant Chair), Stacey L. Ishman, MD, MPH (Methodologist), Richard M. Rosenfeld, MD, MPH (Consultant)
Guideline Update Group: To be determined
Timeline: Tentatively scheduled for Spring 2018
The information below is from the original publication.
Leadership: Reginald Baugh, MD (Chair); Sanford Archer, MD (Assistant Chair); Ron Mitchell, MD (Assistant Chair); Richard M. Rosenfeld, MD, MPH (Methodologist)
Guideline Development Group: Raouf Amin, MD; James Burns, MD; David Darrow, MD, DDS; Terri Giordano, MSN; Ronald Litman, DO; Kasey Li, MD, DDS; Mary Ellen Mannix, MRPE; Richard H. Schwartz, MD; Gavin Setzen, MD; Ellen R. Wald, MD; Eric Wall, MD, MPH; Gemma Sandberg, MA
This guideline was published as a supplement in the January 2011 issue of Otolaryngology—Head and Neck Surgery.
This guideline is intended for all clinicians in any setting who interact with children aged 1 to 18 years who may be candidates for tonsillectomy. The guideline does not apply to tonsillotomy, intracapsular surgery, or other partial removal techniques of the tonsil because of the relatively sparse high-quality published evidence on these techniques and limited long-term follow-up. Similarly, the guideline does not apply to populations of children excluded from most tonsillectomy research studies, including those with diabetes mellitus, cardiopulmonary disease, craniofacial disorders, congenital anomalies of the head and neck region, sickle cell disease, and other coagulopathies or immunodeficiency disorders.
- Published Guideline
- Executive Summary
- Articles of interest
- Tonsillectomy for Obstructive Sleep-Disordered Breathing or Recurrent Throat Infection in Children
- Comparative Effectiveness of Partial versus Total Tonsillectomy in Children: A Systematic Review
- Tonsillectomy Versus Watchful Waiting for Recurrent Throat Infection: A Systematic Review
- Postoperative Bleeding and Associated Utilization following Tonsillectomy in Children: A Systematic Review and Meta-analysis
- Lee WT, Witsell DL, Parham K, Shin JJ, Chapurin N, Pynnonen MA, Langman A, Nguyen-Huynh A, Ryan SE, Vambutas A, Roberts RS, Schulz K. Tonsillectomy Bleed Rates across the CHEER Practice Research Network: Pursuing Guideline Adherence and Quality Improvement. Otolaryngol Head Neck Surg. 2016 Jul;155(1):28-32
- Slideset available: contact Sarah O'Connor firstname.lastname@example.org for more information
- Education Opportunities
- AAO-HNSF Continuing Medical Education (CME) visit www.academyu.org (Academy login required)
- None currently available
- ABOto Maintenance of Certification (MOC) visit www.aboto.org (ABOto login required)
- Self-Assessment Modules (SAMs) (ABOto MOC participation required)
- Child with Recurrent Sore Throat and Fever
- FDA Drug Safety Communication: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death
- Research Gaps
- View/Order Guideline Pocket Card and Mobile App
In 2012 the ABIM Foundation launched Choosing Wisely® with a goal of advancing a national dialogue on avoiding wasteful or unnecessary medical tests, treatments and procedures.
Choosing Wisely centers around conversations between providers and patients informed by the evidence-based recommendations.
Oral antibiotics may have significant adverse effects and do not provide demonstrable benefit after tonsillectomy. Avoidance of oral antibiotics can reduce the spread of antibiotic resistance and the risk of opportunistic infections.