Our Summary

This paper reviews the history of research looking at the relationship between having your tonsils removed (tonsillectomy) and getting polio. The first study suggesting a link was published in 1910, which led to more doctors starting their own research. Some studies found that children who recently had their tonsils removed were more likely to get polio and die from it, while others said there was no link. This disagreement led to confusion in the medical community about whether to recommend against elective tonsil removal during polio outbreaks. Eventually, after much research, it was confirmed that there is a link between tonsillectomy and polio. More detailed scientific and immunological studies showed why this link exists.

FAQs

  1. What was the initial study suggesting a link between tonsillectomy and polio?
  2. Why was there confusion in the medical community regarding tonsillectomy during polio outbreaks?
  3. How was the link between tonsillectomy and polio finally confirmed?

Doctor’s Tip

A helpful tip a doctor might tell a patient about tonsillectomy is to follow post-operative care instructions carefully to help prevent complications and promote a smooth recovery. This may include staying hydrated, avoiding strenuous activities, and taking prescribed pain medication as directed. It’s also important to attend follow-up appointments to ensure proper healing. If any concerning symptoms such as excessive bleeding, severe pain, or difficulty breathing occur, it’s important to seek medical attention immediately.

Suitable For

Tonsillectomy is typically recommended for patients who have recurrent tonsillitis, sleep-disordered breathing such as sleep apnea, or difficulty swallowing due to enlarged tonsils. It may also be recommended for patients with complications such as abscesses or difficulty breathing due to enlarged tonsils. In some cases, tonsillectomy may also be recommended for patients with certain types of cancer affecting the tonsils.

Timeline

Before tonsillectomy:

  1. Patient experiences recurrent or severe tonsillitis, sleep apnea, or other issues related to enlarged tonsils.
  2. Patient consults with an ear, nose, and throat (ENT) specialist who recommends a tonsillectomy.
  3. Pre-operative appointments and tests are conducted to ensure the patient is fit for surgery.
  4. Patient is advised on pre-operative care instructions, such as fasting before surgery.

After tonsillectomy:

  1. Patient undergoes the surgical procedure to remove the tonsils under general anesthesia.
  2. Patient is closely monitored in the recovery room before being discharged home.
  3. Patient experiences post-operative pain, sore throat, difficulty swallowing, and possible ear pain for a few days.
  4. Patient is prescribed pain medication and given instructions on post-operative care, such as rest, hydration, and avoiding certain foods.
  5. Patient follows up with the ENT specialist for post-operative visits to monitor healing and ensure no complications arise.
  6. Patient gradually resumes normal activities as pain and symptoms improve.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a tonsillectomy procedure?
  2. How will the surgery be performed and what can I expect during the recovery process?
  3. Are there any alternative treatments or options available for my condition other than a tonsillectomy?
  4. Will the removal of my tonsils have any impact on my immune system or overall health?
  5. How will having my tonsils removed affect my risk of developing infections or illnesses in the future?
  6. What is the success rate of tonsillectomy for my specific condition?
  7. Are there any long-term effects or potential complications that I should be aware of after the procedure?
  8. How soon after the surgery can I resume normal activities, such as eating, drinking, and exercising?
  9. Will I need to follow any specific post-operative care instructions or attend follow-up appointments?
  10. Are there any lifestyle changes or precautions I should take to prevent any complications or infections after the surgery?

Reference

Authors: Kohanzadeh A, Somogyi DZ, Kravitz MB. Journal: Int J Pediatr Otorhinolaryngol. 2022 Nov;162:111290. doi: 10.1016/j.ijporl.2022.111290. Epub 2022 Aug 19. PMID: 36067711