Adenotonsillectomy is one of the most common surgical procedures performed in children, with more than half a million procedures performed annually. We provide a review of the procedure, including indications, contraindications, perioperative issues, and current controversies. A more in-depth discussion of indications for sleep-disordered breathing and recurrent throat infections is performed. We provide a reasonable approach to these conditions for the general pediatrician. Finally, we discuss selected areas of current controversies: the role of preoperative polysomnogram, postoperative weight gain, and effects on immune function.
Ingram DG, Friedman NR. Toward Adenotonsillectomy in ChildrenA Review for the General Pediatrician. JAMA Pediatr. 2015;169(12):1155-1161. doi:10.1001/jamapediatrics.2015.2016