Does a child with grade II tonsillar enlargement require surgery?

The tonsils are a vital organ and tissue component of the human body; when abnormal, they can cause various discomfort symptoms in children. Therefore, in daily life, parents should not overlook tonsillar hypertrophy and should promptly identify its underlying cause and seek targeted treatment. So, does a child with grade II tonsillar enlargement require surgery?

Does a child with grade II tonsillar enlargement require surgery?

Whether surgery is necessary for a child with grade II tonsillar enlargement depends on whether it causes clinically significant symptoms. However, if the tonsils experience recurrent inflammation, become excessively enlarged, lead to breathing difficulties, or trigger immune-mediated conditions such as rheumatic arthritis, myocarditis, or nephritis—and especially if a neoplasm is detected within the tonsils—tonsillectomy is indicated. Removing the tonsils at this stage will not impair daily functioning; rather, timely surgical intervention helps prevent further enlargement and potential airway obstruction.

Grade II tonsillar enlargement in children may result from acute inflammatory episodes, allergic reactions, infections, or tonsillitis. Acute inflammation gradually causes glandular hyperemia and may progress to suppuration, often accompanied by symptoms such as dyspnea and copious nasal secretions. In some cases, allergic responses or bacterial infection induce localized edema, ultimately resulting in tonsillar hypertrophy.

In daily life, patients are advised to supplement vitamins and consume more vegetables and fruits, while also engaging in regular physical exercise. We hope this information proves helpful to you.