$Unique_ID{BRK00699} $Pretitle{} $Title{Just What Do the Tonsils and Adenoids Do?} $Subject{tonsil tonsils adenoid adenoids immune gland glands antibodies immunity tonsillectomy adenoidectomy T & A operation operations surgeries surgery antibiotics tonsillitis} $Volume{U-22} $Log{ Tonsilitis*0007400.tid Location of the Tonsils*0007401.scf Visual Symptoms of Tonsillitis*0007402.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Just What Do the Tonsils and Adenoids Do? ------------------------------------------------------------------------------ QUESTION: Although not sickly, my 12 year old son comes down with throat infections very frequently. His doctor now is advising that he has his tonsils and adenoids removed. Just what do these glands do, and is removing them in a youngster considered to be the right thing to do? ------------------------------------------------------------------------------ ANSWER: Although these glands have an important health role in infants, they probably have accomplished all they ever will by the time the child is three years of age. In the first few years of life, these glands are responsible for sampling the incoming air and catching some of the germs and viruses that may be present. An infection may then develop in this tissue, causing the body to develop antibodies to help combat the infection. In this manner an immunity to similar infections is developed that protects the individual against future infections. You can easily see the state of your son's tonsils for yourself by looking in his mouth. The tonsils are the glands located just behind a fold of tissue at the back of the mouth, and may be filled with small pockets (crypts) that are filled with cheesy like material, resulting from infections and abscess formation. They may be causing a bad breath, but more important are the reason for repeated infections and possibly breathing difficulties as well. You can't see the adenoids without special instruments, as they are located high in the throat behind the nose, but they probably would look similar to the tonsils if you could see them. There is nothing unusual about removing tonsils in a child the age of your son, and tonsillectomy and adenoidectomy (T & A) is the second most common operation performed for children, numbering about 400,000 operations per year. When symptoms of frequent and recurrent sore throats, fever and chills, bad breath, nasal congestion or obstruction occur frequently and can not be permanently relieved with antibiotics, a T & A is considered sound therapy. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.