The tonsils and the adenoid are part of the lymphoid system of the body that represents the first line of defense of the body.

Acute tonsillitis is common in adults and children and increases in crowded places as in classes, public transportation and in cases of immune deficiency as a result of malnutrition, interrupted sleeping, studying or severe work.

Acute tonsillitis is usually accompanied by high fever, headache, bone aches, diarrhea, and sore throat.

This condition is diagnosed by the physician as follicles of pus and hyperemia is present on the surface of the tonsils.

This condition is treated by proper antibiotics as regarding the age and patient’s condition together with anti-inflammatory and anti-pyre tics.

It is worth mentioning that these cases must be treated as early as possible to prevent complications like extension of the infection to the ears, sinuses or the chest.

And in case of recurrent acute tonsillitis without proper treatment probability of chronic tonsillitis exists and the tonsils will become a septic focus spreading the pus to the blood and therefore to the heart, joints or kidneys.

Chronic tonsillitis is diagnosed by the physician to detect the size of the tonsils and if there is crypts of pus.

In cases of children it is common that chronic tonsillitis is associated with adenoid hypertrophy that leads to muffled sound, snoring and diminished hearing level. And the decision then is tonsillectomy and adenoidectomy using the nasal endoscopy and the shaver.

And in adults it is a common that chronic tonsillitis is associated with snoring and sleep apnea especially in obesity as there is redundancy in the soft palate and the uvula and in this case tonsillectomy is done accompanied by reconstruction of the soft palate and the uvula to ensure the cessation of snoring and the sleep apnea.