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Tonsillitis And Tonsillectomy
Last updated October 2004
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What Is Tonsillitis?

Tonsillitis is an infection of the tonsils. It is caused by either a virus or a bacterium (usually the bacterium known as streptococcus - the same bacterium that causes "strep throat"). Tonsillitis mostly occurs in young children.

What Are Tonsils and Adenoids?

The tonsils are a pair of small almond-shaped organs located of the mouth on both sides of the throat. The adenoids are similar to the tonsils but are located in the upper portion of the throat behind the nose, where they can't be seen.

  • At one time many doctors believed that tonsils had no real purpose and often routinely removed them to avoid tonsillitis. Today, tonsils and adenoids are seen as perhaps the "first line of defense" against disease-causing germs that enter the body through the nose, mouth, or throat.

  • Tonsils and adenoids protect against germs during early childhood by producing antibodies   Proteins made in the body that fight infection and destroy harmful organisms (bacteria and viruses) or toxins. . By attacking bacteria and viruses, antibodies play an important role in the body's immune system. The problem is that in the process of protecting the body, the tonsils and adenoids can become infected themselves.

  • As children grow and develop, the tonsils and adenoids eventually begin to shrink and are probably no longer important in protecting against disease-causing germs. Even in young children, removal of infected tonsils or adenoids does not seem to weaken the body's defenses. There are many other tissues in the body that are part of the immune system. These tissues, known as lymphoid tissues , also make antibodies to fight against infection.

Facts About Tonsillitis:

  • Doctors once believed that tonsils and adenoids served no purpose and routinely removed them to prevent tonsillitis. Today these organs may be considered to be the "first line of defense" against upper respiratory infections, which enter the body through the nose, mouth, and throat.

  • An abscess   A collection of pus that requires surgical drainage., or pocket of pus, that forms around a tonsil is also known as a quinsy.

  • When tonsils become so enlarged that a child's voice changes, it is called "hot potato" voice. This is one sign that the tonsils should be removed.

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