Recurrent Throat Infections in Children: Surgery or Watchful Waiting?

Recurrent tonsillitis is an indication for tonsillectomy, but the effectiveness of surgery compared with more-conservative watchful waiting is not clear. Many studies examining the benefits of tonsillectomy are challenged by strict definitions of tonsillitis and lack of long-term follow-up data.

These authors conducted a systematic review of studies published over the past 4 decades comparing tonsillectomy with watchful waiting for children with recurrent throat infections. Watchful waiting could include an intervention, such as antibiotics. Seven articles met inclusion criteria for comparative study design, appropriate interventions, and measurement of outcomes. The studies varied in reported outcomes and definition of throat infection. Mos…