Dr. Howard Smith Oncall

Vidcast: https://youtu.be/daOwdUR03kU Conventional medical wisdom states that a child’s tonsils and adenoids begin to shrink in size between the ages of 12 and 20 years.  Since these tissues, when enlarged, affect a child’s breathing, sleep, and dental alignment, the expectation that their size will diminish is key for planning medical and orthodontia therapy. A new study from the Tokyo Medical and Dental University now shows that tonsils and adenoids do not shrink over the teen years.  A careful longitudinal study of 90 adolescents using sequential cephalometric imaging at ages 8, 10, 13, 16, and 19 years of age reveals that growth of the throat cavity itself does occur giving more space to the same-sized tonsils and adenoids.  Since the extra throat space that develops may not relieve the breathing or dental problems, this new data suggests that clinicians treating young children with obstructive tonsils and adenoids should be more proactive and consider removing these tissues at an earlier age.   Younger c