Tonsils rarely need to come out

  • By Theresa Goffredo, Herald Writer
  • Monday, June 11, 2012 9:53pm
  • LifeEverett

It is difficult to fathom that children underwent tonsillectomies 3,000 years ago.

According to an online encyclopedia, that’s how long tonsils — those vestigial pieces of tissue in the back of the throat — have been removed in surgical procedures. If you call using a blunt hook a form of surgery.

Over the years, the popularity of tonsillectomies has waxed and waned. During the 1950s, for instance, having your tonsils out as a child was almost a rite of passage.

Since then, the procedure has been scrutinized and studied, with today’s consensus being that tonsillectomies should be a last resort, except in severe cases.

“We definitely do not do them as often,” said pediatrician Megan Westbrook with The Everett Clinic. “My understanding is it used to be so many children got them, whether they had severe throat infections or not, and for not very stringent reasoning back in the1950s.”

Then the operation fell out of favor, almost completely, for a while.

Recently, there’s been an uptick in the procedure, Westbrook said.

But Westbrook adds a big “however” right here.

The “however” is followed by what Westbrook recites as recent research that calls into question the necessity of a tonsillectomy.

One study took two groups of children, one that had the the surgery and one group that did not have the surgery.

What they found was little difference in the number of throat infections between either group the following year. So it came down to the question, Why are we doing this?

“They didn’t really find any difference with the surgery,” Westbrook said.

That evidence, along with the fact that as kids grow older, their tonsils regress, leads to less need for tonsillectomies.

There are those severe cases Westbrook cautions parents to watch for.

Those cases include a child suffering from sleep apnea or severe snoring, or having difficulty breathing or swallowing.

Or the child may be a candidate for the surgery if he or she is suffering from constant throat infections — strep infections — throughout the year that don’t seem to respond to antibiotics.

Another consideration is if the child has tonsil abscesses or is a carrier of strep and is making other members of the family sick, Westbrook said.

As a pediatrician, Westbrook said she doesn’t see many children a year who fit these criteria for a tonsillectomy.

Tonsils function like a lymph node in the body, capturing bad bacteria. Once the tonsils are gone, the body’s other lymph nodes take over that job.

So the body doesn’t really need tonsils, much like a body doesn’t need an appendix.

Today, removing an appendix has come a long way, sometimes involving just a few slits, Westbrook said.

Tonsillectomies have come farther than the early days. But still.

“There is no eloquent way to do it,” Westbrook said of removing tonsils. “And recovery takes at least several days with eating ice cream and drinking juice.”

Dr. Westbrook

Learn more about Dr. Megan Westbrook from The Everett Clinic in this video: http://tinyurl.com/drwestbrook.

Talk to us

> Give us your news tips.

> Send us a letter to the editor.

> More Herald contact information.

More in Life

What’s Up columnist Andrea Brown with a selection of black and white glossy promotional photos on Wednesday, June 18, 2025 in Everett, Washington. (Olivia Vanni / The Herald)
Free celeb photos! Dig into The Herald’s Hollywood time capsule

John Wayne, Travolta, Golden Girls and hundreds more B&W glossies are up for grabs at August pop-up.

Rodney Ho / Atlanta Journal-Constitution / Tribune News Service
The Barenaked Ladies play Chateau Ste. Michelle in Woodinville on Friday.
Coming events in Snohomish County

Send calendar submissions for print and online to features@heraldnet.com. To ensure your… Continue reading

Edmonds announces summer concert lineup

The Edmonds Arts Commission is hosting 20 shows from July 8 to Aug. 24, featuring a range of music styles from across the Puget Sound region.

Big Bend Photo Provided By Ford Media
2025 Ford Bronco Sport Big Bend Increases Off-Road Capability

Mountain Loop Highway Was No Match For Bronco

Cascadia College Earth and Environmental Sciences Professor Midori Sakura looks in the surrounding trees for wildlife at the North Creek Wetlands on Wednesday, June 4, 2025 in Bothell, Washington. (Olivia Vanni / The Herald)
Cascadia College ecology students teach about the importance of wetlands

To wrap up the term, students took family and friends on a guided tour of the North Creek wetlands.

Mustang Convertible Photo Provided By Ford Media Center
Ford’s 2024 Ford Mustang Convertible Revives The Past

Iconic Sports Car Re-Introduced To Wow Masses

Kim Crane talks about a handful of origami items on display inside her showroom on Monday, Feb. 17, 2025, in Snohomish, Washington. (Olivia Vanni / The Herald)
Crease is the word: Origami fans flock to online paper store

Kim’s Crane in Snohomish has been supplying paper crafters with paper, books and kits since 1995.

The 2025 Nissan Murano midsize SUV has two rows of seats and a five-passenger capacity. (Photo provided by Nissan)
2025 Nissan Murano is a whole new machine

A total redesign introduces the fourth generation of this elegant midsize SUV.

A woman flips through a book at the Good Cheer Thrift Store in Langley. (Olivia Vanni / The Herald)
Pop some tags at Good Cheer Thrift Store in Langley

$20 buys an outfit, a unicycle — or a little Macklemore magic. Sales support the food bank.

The Mukilteo Boulevard Homer on Monday, May 12, 2025 in Everett, Washington. (Olivia Vanni / The Herald)
‘Homer Hedge’: A Simpsons meme takes root in Everett — D’oh!

Homer has been lurking in the bushes on West Mukilteo Boulevard since 2023. Stop by for a selfie.

Sarah and Cole Rinehardt, owners of In The Shadow Brewing, on Wednesday, March 12, 2025 in Arlington, Washington. (Olivia Vanni / The Herald)
In The Shadow Brewing: From backyard brews to downtown cheers

Everything seems to have fallen into place at the new taproom location in downtown Arlington

Bar manager Faith Britton pours a beer for a customer at the Madison Avenue Pub in Everett. (Olivia Vanni / The Herald)
Burgers, brews and blues: Madison Avenue Pub has it all

Enjoy half-price burgers on Tuesday, prime rib specials and live music at the Everett mainstay.

Support local journalism

If you value local news, make a gift now to support the trusted journalism you get in The Daily Herald. Donations processed in this system are not tax deductible.