Tonsils & Adenoids in Children

Tonsils and adenoids are lymphoid tissues located at the back of the throat and nose. After the age of 2–3, they no longer have a significant role in immunity. Research shows that children who have their tonsils or adenoids removed do not experience a loss in disease-fighting ability.

While they may have limited function, enlarged or infected tonsils and adenoids can cause several health problems in children.

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Common Problems Caused by Tonsils & Adenoids

Tonsils can become problematic when repeatedly infected, leading to tonsillitis. This often presents as:

  • Frequent sore throats
  • Fever
  • Difficulty swallowing
  • Need for repeated courses of antibiotics

Repeated infections may affect a child’s school attendance and daily activities, and in some cases, tonsillectomy in Singapore may be recommended.

Enlarged tonsils may obstruct a child’s airway while sleeping, leading to snoring or obstructive sleep apnoea (OSA). Symptoms include:

  • Loud snoring
  • Pauses in breathing during sleep
  • Restless sleep or mouth breathing

Untreated OSA can cause long-term health issues, including increased risk of heart problems, hypertension, and developmental concerns.

Large adenoids can block the Eustachian tube, preventing proper drainage of the middle ear. This can cause:

In children with recurrent ear infections, adenoidectomy may help reduce episodes and improve ear health.

Enlarged adenoids can also act as a reservoir for bacteria, leading to repeated sinus infections. Symptoms include:

  • Frequent colds
  • Persistent nasal congestion
  • Runny nose

For children with recurrent sinusitis caused by enlarged adenoids, adenoid removal may be advised.

Tonsillectomy & Adenoidectomy Surgery

Tonsillectomy and adenoidectomy are safe and common procedures performed under general anaesthesia. Key points include:

  • Duration: Approximately 35 minutes
  • Approach: Through the mouth and nose, leaving no external scars
  • Recovery: Children can eat and drink soon after the anaesthesia wears off
  • Diet: Soft foods are recommended; ice cream and cooled drinks are encouraged for comfort

Surgery is considered when infections, obstruction, or related complications significantly affect a child’s health, school attendance, or quality of life.

Intracapsular Tonsillectomy for Children

In some children, an intracapsular tonsillectomy may be considered as an alternative approach to tonsil removal. Instead of removing the tonsils completely, most of the tonsil tissue is removed while a thin layer is left in place.

This approach may offer certain recovery benefits for selected children. Our ENT specialist will assess your child’s symptoms, tonsil size, and overall health to determine which surgical approach is most appropriate.

Learn more about intracapsular tonsillectomy

Recovery After Tonsil & Adenoid Surgery

Parents can help their child recover safely:

  • Encourage a soft diet for the first few days
  • Ensure adequate hydration
  • Monitor for bleeding or severe pain
  • Provide pain relief as prescribed by the surgeon

Most children recover fully within 1–2 weeks and experience significant improvement in breathing, sleep, and overall well-being.

When to See a Doctor for Tonsils & Adenoids

Seek ENT evaluation if your child experiences:

  • Frequent sore throats or tonsillitis
  • Loud snoring or signs of sleep apnoea
  • Recurrent ear infections
  • Persistent nasal congestion or sinusitis

Early assessment can prevent long-term complications and improve your child’s quality of life.

Our Paediatric ENT Specialists in Singapore

Dr Dawn Teo

Medical Director, Consultant Paediatric ENT Surgeon

Dr Low Mei-Yi

Consultant Paediatric ENT Surgeon

Disclaimer:

The information on the The Children’s Eye & ENT Centre website is intended for educational use. It should not be considered or used as a substitute for medical advice, diagnosis or treatment from a qualified health professional.