A 7-year-old child is brought with recurrent tonsillitis. The mother reports 7 episodes in the past year, 5 episodes per year for the past 2 years, and 3 episodes per year for the past 3 years. According to the Paradise criteria, which is the appropriate recommendation for tonsillectomy?

• A Tonsillectomy is indicated only if peritonsillar abscess has occurred
• B Tonsillectomy is indicated as the frequency meets the criteria ✓
• C Tonsillectomy is indicated only if streptococcal carrier state is confirmed
• D Tonsillectomy is not indicated; continue antibiotics for each episode

Explanation

The Paradise criteria for tonsillectomy recommend surgery when a patient has at least 7 episodes in the past year, or at least 5 episodes per year for 2 years, or at least 3 episodes per year for 3 years. This child meets all three thresholds (7 in 1 year, 5/year for 2 years, and 3/year for 3 years). These criteria are widely accepted and tested in ENT examinations.

Reference: Cummings Otolaryngology: Head and Neck Surgery, 7th ed.

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