ENT

Question 1

Indications for Tonsillectomy

Answer 1

• 5+ tonsillitis (not just URTI) yearly for > 1 year
• episodes disabling and preventing normal function

OR

• recurrent febrile convulsions
• obstructive sleep apnoea
• stridor, dysphagia
• quinsy not responding to treatment

Question 2

Complications of Tonsillitis

Answer 2

• otitis media
• quinsy (peritonsillar abscess)
• strep sequelae: rheumatic fever, post-strep GN

Question 3

Complications of Tonsillectomy

Answer 3

First 24h:

• haemorrhage (2 - 3%)
• pain

First 10 days:

• haemorrhage (secondary to infection)
• pain