Ear, Nose & Throat Treatment Tonsils and Tonsil Surgery By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FN LinkedIn Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine. Learn about our editorial process Updated on May 05, 2022 Medically reviewed by Benjamin F. Asher, MD Medically reviewed by Benjamin F. Asher, MD Facebook LinkedIn Benjamin F. Asher, MD, is a board-certified otolaryngologist. He has a private practice in New York City where he focuses on natural and integrative healing. Learn about our Medical Expert Board Print Tonsils are a collection of lymphatic tissue in the mouth that help to fight infection. Unfortunately, these infection-fighting glands are not immune to becoming infected themselves. For this example, we will use a child with strep throat. The tonsils do their part to help combat the infection and may become enlarged as they do this work. They can also become infected with strep. While this infection of the tonsils is far more common in children, it can become a problem for any age group. In adults, tonsils are much less likely to be infected. As we grow, throat infections, in general, are less common. For some, this is true because they have had their tonsils removed, but it is also normal to grow out of these issues with age. For adults, it is far more likely that tonsils can become a problem when they are large enough that they partially occlude the airway or throat, causing sleep apnea. Rarely do adults need a tonsillectomy due to tonsillitis, a breathing problem is much more likely to be the diagnosis that leads to surgery. Problems with the tonsils often include problems with the adenoids. The adenoids can be removed at the same time as the tonsils, in a procedure called an adenoidectomy. Hero Images / Getty Images What Is Tonsillitis? There is a difference between tonsillitis and a sore throat. While tonsillitis does cause a sore throat, a sore throat may not be caused by tonsillitis. If the tonsils are not enlarged or angry, the sore throat is not tonsillitis and is caused by a different problem. What Is a Tonsillectomy or Adenoidectomy? A tonsillectomy may be performed independently or performed along with an adenoidectomy. The adenoids are lymphatic tissue similar to the tonsils, but they are located higher up in the throat near the roof of the mouth. The adenoids are often enlarged and inflamed along with the tonsils, and for that reason, they are typically removed together. This procedure is called a tonsillectomy and adenoidectomy. For adults having the procedure due to sleep apnea, the adenoids may be removed if they are believed to be contributing to the issue. When Is a Tonsillectomy Necessary? The primary reasons for a tonsillectomy are: Tonsillitis Obstructive sleep apnea Chronic cryptic tonsillitis (tonsilliths or tonsil stones) Recovering From Tonsillectomy Recovering from tonsillectomy or adenoidectomy is different than you might think. Despite what we see on TV, there is no ice cream for the first 24 to 48 hours after surgery. This is only the beginning of what you need to know about recovering from tonsillectomy or adenoidectomy. Adults typically have a more difficult recovery than children and find the recovery from this surgery to be rather painful. The average adult will require pain medication during the recovery to help treat the pain. Cold fluids can also help decrease the pain in the area, but the adult patient should be aware that the surgery is typically much more challenging for adults than children. 4 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Verma R, Verma RR, Verma RR. Tonsillectomy-Comparative Study of Various Techniques and Changing Trend. Indian J Otolaryngol Head Neck Surg. 2017;69(4):549-558. doi:10.1007/s12070-017-1190-6 Georgalas CC, Tolley NS, Narula PA. Tonsillitis. BMJ Clin Evid. 2014;2014:0503. Hawley K. Tonsillectomy and Adenoidectomy in Children. JAMA Otolaryngol Head Neck Surg. 2019;145(3):300. doi:10.1001/jamaoto.2018.3703 Senska G, Atay H, Pütter C, Dost P. Long-Term Results From Tonsillectomy in Adults. Dtsch Arztebl Int. 2015;112(50):849-855. doi:10.3238/arztebl.2015.0849 Additional Reading Fact Sheet: Tonsillectomy. American Academy of Otolaryngology. By Jennifer Whitlock, RN, MSN, FN Jennifer Whitlock, RN, MSN, FNP-C, is a board-certified family nurse practitioner. She has experience in primary care and hospital medicine. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit