A computerized PubMed search of MEDLINE 1966-February 2005 was performed. The terms tonsillitis, tonsil, and tonsillectomy were searched, and the resulting articles were cross-referenced, yielding 2020 articles. The search was limited to adult data; this yielded 476 articles. The titles or abstracts of these articles were then reviewed to identify those that met the following entry criteria: 1) adults with recurrent pharyngitis, 2) intervention with tonsillectomy, ideally versus nonsurgical treatment, and 3) comparative outcomes of post-treatment symptoms. One randomized controlled trial (RCT) and two retrospective reviews of outcomes after tonsillectomy met these criteria. The bibliographies of these articles and several narrative review articles were manually checked to ensure no further relevant articles could be identified. This process yielded no additional studies. In addition, we reviewed three published systematic reviews [1-3] on, tonsillectomy for recurrent tonsillitis. Those reviews used strict entry criteria and included RCTs only; all reviews reported no appropriate RCTs for adults.
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