Skip to main content Skip to main navigation menu Skip to site footer


Introduction: Tonsils are the body's defense against viruses or bacterial antigens that enter the tonsils. These pathogens can cause inflammation and formed focal infection. Either persistent or recurrent infection of the palatine tonsils occurs in chronic tonsillitis. Tonsillectomy is surgical procedure that removed the entire palatine tonsils. It is performed if conservative and medical management failed to relieve symptoms and if indicated by the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) consensus published 1995.

Case description: A 30 years old male, complained a lump in his throat for about a year and had worsened for the previous 1.5 months. The patient also had difficulty in breathing, especially during sleep and snored. The patient had received treatment and got better. However, some complaints such as fever, cough, runny nose, difficulty and painful swallowing appear more than three times a year. The patient was alert, vital signs and general examination are within normal limits. Throat examination revealed T2 - T3 tonsils, hyperemic + / +, dilated crypts + / +, detritus - / -, midline uvula with hyperemic mucosa. The patient was diagnosed with chronic tonsillitis and undergone Tonsillectomy.

Conclusion: Tonsillectomy is indicated in patients with enlarged tonsils that cause upper airway obstruction and recurrent episode of tonsil infections more than three times per year despite adequate medical therapy. 


  1. Maulana Fakh I, Novialdi N, Elmatris E. Karakteristik Pasien Tonsilitis Kronis pada Anak di Bagian THT-KL RSUP Dr. M. Djamil Padang Tahun 2013. J Kesehat Andalas. 2016;5(2). Available from:
  2. Drake R, Vogl A, Mitchell A. Gray’s Basic Anatomy. 1st ed. New York: Elsevier Churchill Livingstone.; 2012. 632 p.
  3. Wiyanto RJ, Pelealu OCP, Tumbel REC. Survei Kesehatan Tenggorok di Desa Tinoor Dua. E-Clin. 2015;3(1). Available from:
  4. Soepardi E, Iskandar N, Bashirudin J, Restuti R. Buku Ajar Ilmu Kesehatan Telinga Hidung Tenggorok Kepala dan Leher. Jakarta: Baiali Penerbit FK UI; 2007. 221 p.
  5. Mindarti F, Rahardjo SP, Kodrat L, Sulaiman B. Hubungan antara Kadar Anti Streptolisin-O dan Gejala Klinis pada Penderita Tonsilitis Kronis. J Kedokt Yarsi. 2010;18(2):121–8.
  6. Sapitri RV. Karakteristik Penderita Tonsilitis Kronis Yang Diindikasikan Tonsilektomi Di Bagian Tht Rumah Sakit Umum Raden Mattaher Jambi Pada Bulan Mei-juli 2013. Jambi Med J. 2013;1(1):70949.
  7. Tanto C. Kapita Selekta Kedokteran. 2nd ed. Jakarta: Media Aesculapius; 2014. 1070 p.
  8. Campisi P, Tewfik T. Tonsillitis and its Complication. Can J Diagn. 2003;Februari:99–105.
  9. Byars SG, Stearns SC, Boomsma JJ. Association of Long-Term Risk of Respiratory, Allergic, and Infectious Diseases With Removal of Adenoids and Tonsils in Childhood. JAMA Otolaryngol-- Head Neck Surg. 2018;144(7):594–603.
  10. Agur AMR, Dalley A. Essential Clinic Anatomy. 6th ed. Philadelphia: Wolter Kluwer; 2019.
  11. Institute for Quality and Efficiency in Health Care. Enlarged tonsils and adenoids: Overview [Internet]. [Internet]. 2019. Available from:
  12. Mustofa FL, Susanti F, Aziza. Hubungan Tonsilektomi dengan Umur Keluhan Utama dan Ukuran Tonsil pada Pasien Tonsilitis Kronik. ARTERI J Ilmu Kesehat. 2020;1(3):241–7.

How to Cite

Putri, K. S. P. (2021). Tonsillectomy indication in adult with chronic tonsillitis: a case report. Intisari Sains Medis, 12(1), 460–462.




Search Panel

Komang Soniananda Pradnyana Putri
Google Scholar
ISM Journal