Why are more and more American children choosing not to have tonsillectomies?

Tonsillectomy surgery, the complete removal of tonsils, has long been a treatment for recurring throat infections and obstructive sleep apnea. However, in recent years, more and more families have chosen not to undergo this surgery. Why is this?

According to medical research, although tonsillectomy surgery can reduce the number of recurring throat infections in the short term, the long-term effect is not obvious. In fact, many children with frequent throat infections who eventually undergo surgery experience only minimal improvement in symptoms over the subsequent year.

Many children ultimately choose surgery within one to two years, only to discover that their condition may have improved naturally.

In addition to considering the medical effects, many parents have also begun to question the risks of surgery. Possible complications of tonsillectomy surgery include bleeding, vomiting, dehydration, and postoperative sore throat, which often make parents hesitant.

Looking further, according to the guidelines of the American Academy of Otolaryngology, surgery will only be recommended under certain criteria. These criteria include conditions such as more than seven throat infections per year. Even so, doctors stress that watchful waiting may be a more appropriate option rather than surgery in many cases.

Based on these guidelines, medical teams generally agree that the risks of tonsillectomy are not as clear as their potential benefits and may not be appropriate for all children who meet the criteria.

In the United States, surgery rates vary significantly across regions. In some areas with high surgery rates, parents may be influenced by the surrounding environment and peer pressure to choose surgery, while in other areas, professional advice from the medical community may make parents more inclined to choose the watch-and-wait option.

Another factor is the emphasis on postoperative pain management and recovery period. Many parents learn that their children will experience sore throat for about two weeks after surgery, and that post-operative care is equally important, further prompting their reservations about surgery.

For many families, how to find a balance between the risks of surgery and the health of their children is undoubtedly a difficult choice.

With the advancement of medical research, various new methods for tonsillectomy surgery have gradually emerged. Some of these new technologies aim to reduce postoperative pain and recovery time, but there is currently insufficient evidence of long-term effects to confirm the superiority of these approaches.

Although tonsillectomy surgery remains a standard medical procedure, many medical experts advise parents to carefully consider their child's specific situation before considering other treatment options compared to surgery. Parents may find it wiser to follow up on their children's health and have in-depth discussions with their doctors.

In summary, as the medical community’s understanding of tonsillectomy becomes more and more profound, more and more American children are choosing not to undergo surgery. There are many reasons behind this, including the weighing of risks and benefits, and The real impact it has on a child’s quality of life. So, when faced with this dilemma, do you choose to make the decision that is best for your child's specific situation?

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