Tonsil Health Dictionary

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Tonsil: From 1 Different Sources

One of a pair of oval tissue masses at the back of the throat on either side. The tonsils are made up of lymphoid tissue and form part of the lymphatic system. Along with the adenoids, at the base of the tongue, the tonsils protect against upper respiratory tract infections. The tonsils gradually enlarge

from birth until the age of 7, after which time they shrink substantially.

Tonsillitis is a common childhood infection.

Health Source: BMA Medical Dictionary
Author: The British Medical Association

Tonsillitis

Tonsillitis is the in?ammation of the TONSILS. The disorder may be the precurosor of a virus-induced infection of the upper respiratory tract such as the COMMON COLD, INFLUENZA or infectious MONONUCLEOSIS, in which case the in?ammation usually subsides as other symptoms develop. Such virus-induced tonsillitis does not respond to treatment with antibiotics. This section describes tonsillitis caused by bacterial infection.

Acute tonsillitis The infection is never entirely con?ned to the tonsils; there is always some involvement of the surrounding throat or pharynx. The converse is true that in many cases of ‘sore throat’, the tonsils are involved in the generalised in?ammation of the throat.

Causes Most commonly caused by the ?haemolytic STREPTOCOCCUS, its incidence is highest in the winter months. In the developing world it may be the presenting feature of DIPHTHERIA, a disease now virtually non-existant in the West since the introduction of IMMUNISATION.

Symptoms The onset is usually fairly sudden with pain on swallowing, fever and malaise. On examination, the tonsils are engorged and covered with a whitish discharge (PUS). This may occur at scattered areas over the tonsillar crypts (follicular tonsillitis), or it may be more extensive. The glands under the jaw are enlarged and tender, and there may be pain in the ear on the affected side: although usually referred pain, this may indicate spread of the infection up the Eustachian tube to the ear, particularly in children. Occasionally an ABSCESS, or quinsy, develops around the affected tonsil. Due to a collection of pus, it usually comes on four to ?ve days after the onset of the disease, and requires specialist surgical treatment.

Treatment Most cases need no treatment. Therefore, it is advisable to take a throat swab to assess the nature of any bacterial treatment before starting treatment. Penicillin or erythromycin are the drugs of choice where betahaemolytic streptococci are isolated, together with paracetamol or aspirin, and plenty of ?uids. Removal of tonsils is indicated: when the tonsils and adenoids are permanently so enlarged as to interfere with breathing (in such cases the adenoids are removed as well as the tonsils); when the individual is subject to recurrent attacks of acute tonsillitis which are causing signi?cant debility, absence from school or work on a regular basis (more than four times a year); when there is evidence of a tumour of the tonsil. Recurrent sore throat is not an indication for removing tonsils.... tonsillitis

Tonsils

Two almond-shaped glands (see GLAND) situated one on each side of the narrow FAUCES where the mouth joins the throat. Each has a structure resembling that of a lymphatic gland, and consists of an elevation of the mucous membrane presenting 12–15 openings, which lead into pits or lacunae. The mucous covering is formed by the ordinary mucous membrane of the mouth, which also lines the pits; and the main substance of the gland is composed of loose connective tissue containing lymph corpuscles in its meshes, and packed here and there into denser nodules or follicles. The tonsils play an important role in the protective mechanism of the body against infection.... tonsils

Tonsillectomy

Surgical removal of the tonsils, which is now performed only if a child suffers frequent, recurrent attacks of severe tonsillitis. The operation is also carried out to treat quinsy (an abscess around the tonsil).... tonsillectomy

Tonsilitis

Inflammation of the tonsil... tonsilitis

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