How large do tonsils need to be for surgery not to require general anesthesia?
Tonsils smaller than 3 cm generally do not require general anesthesia for surgery. The detailed analysis is as follows:
Tonsillectomy is usually indicated for cases of tonsillar hypertrophy. When the tonsils become abnormally enlarged due to immune factors, pathogen infections, or similar causes, but their diameter is less than 3 cm, general anesthesia is typically not necessary. Tonsil surgery is commonly performed using techniques such as guillotine excision, dissection, or low-temperature plasma radiofrequency ablation. However, individuals with conditions such as hypertension, psychiatric disorders, or rheumatic heart disease are generally not suitable candidates for this procedure. The surgery may affect surrounding tissues including blood vessels and muscles. Therefore, strict adherence to medical instructions during postoperative care is essential. Mouth rinsing with medications such as nitrofural solution or compound borax solution can help prevent infection at the surgical site, but all medications must be used under the guidance of a qualified physician.
It is recommended that patients maintain a light diet during recovery, avoid fried or excessively coarse foods, attend regular follow-up appointments, and seek prompt medical attention if any discomfort or adverse symptoms occur.