A tonsillectomy or adenoidectomy is contraindicated in what conditions? (Select all that apply.)

a. Cleft palate
b. Seizure disorders
c. Blood dyscrasias
d. Sickle cell disease
e. Acute infection at the time of surgery


ANS: A, C, E
Contraindications to either tonsillectomy or adenoidectomy are (1) cleft palate because both tonsils help minimize escape of air during speech, (2) acute infections at the time of surgery because the locally inflamed tissues increase the risk of bleeding, and (3) uncontrolled systemic diseases or blood dyscrasias. Tonsillectomy or adenoidectomy is not contraindicated in sickle cell disease or seizure disorders.

Anatomy & Physiology

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