Difference Between Adenoids and Tonsils (With Table)

Adenoids and tonsils are terms that almost everyone is acquainted with. They may have had tonsillitis or throat irritation, snoring issues, have breathing difficulties, or know someone who has had a tonsillectomy or adenoidectomy. Tonsillar or adenoidal disorders necessitate regular visits to the doctor. Because tonsils and adenoids are commonly treated, it is critical to recognize their distinctions.

Adenoids vs Tonsils

The main difference between adenoids and tonsils is that adenoids diminish after a kid reaches the age of 5 years old, meanwhile, tonsils remain throughout the duration of an individual’s life.

Difference Between Adenoids And Tonsils

Adenoids are prevalent in the throat, particularly behind the nose and on the roof of the mouth (termed as our soft palate). They cannot be seen via the mouth or nose without the use of special tools. Adenoid evaluation often entails putting an endoscope via the nose, employing a mirror at the back of the mouth, or taking an x-ray.

Tonsils are the two circular lumps at the rear of your throat, towards the back of the throat. Tonsillitis is the medical term for infected tonsils. They’re pink, oval-shaped bumps that rest in the back of the throat, one on each side. They may not appear to be much, but they are our initial line of protection against infections and germs that enter via the nose and mouth.

Comparison Table Between Adenoids And Tonsils

Parameters of ComparisonAdenoidsTonsils
LocationIn the upper throat while being behind the nose and soft palate.Two lumps at the back of the throat are placed behind the nose and soft palate.  
IdentificationDifficult to identifyVisible when the mouth is opened.  
CausesStuffy noses, ear issues, and mouth breathingFever, painful throat, white or yellow patches
DurationDiminishes after a kid reaches the age of fiveRemains throughout a person’s life.  
InfectionAdenoiditis is an enlargement of the adenoidTonsillitis refers to the enlargement of tonsils

What are Adenoids?

The adenoids are a collection of soft tissue located behind nasal passages. Adenoids, like lymph nodes, are components of the immune system and are formed of the same tissue (lymphoid tissue). White blood cells travel through most of the adenoids and other lymphoid tissues within the body, responding to external intruders.

A swollen adenoid, also known as adenoid hypertrophy, can enlarge to the shape of a ball and severely hinder the circulation of air via the nasal passages. Even if the inflated adenoid does not completely impede the back of the nostril, it can limit airflow enough to make inhaling via the nose problematic, necessitating intake through an open mouth.

The bigger adenoid would also obstruct the nasal airway substantially to impair voice quality without totally restricting nasal airflow. Frequent adenoidal infections can damage other regions of the ear, such as the eustachian tube, which connects the back of the nose to the inside of the ear.

This might result in repeated ear infections and fluid accumulation in the eardrum, which can probably cause hearing damage. Some youngsters with recurrent earaches and fluid in the middle ear may benefit from adenoids removal (called otitis media with effusion). 

We all have adenoids at birth and during infancy, but they begin to decrease as we enter puberty. Most people’s adenoids have vanished by maturity.

What are Tonsils?

The tonsils (palatine tonsils) are a collection of soft tissue lumps in the back of the mouth (pharynx). Each tonsil is made up of tissue resembling lymph nodes and coated by pink mucosa (like on the adjacent mouth lining). Pits called crypts to go through the mucosa of each tonsil. 

The tonsils include specialized antigen capturing cells called Microfold cells on their surface that allow pathogen-produced antigens to be taken up. Tonsils are divided into four forms in humans: the pharyngeal tonsil, two tubal tonsils, the lingual tonsils, and two palatine tonsils.

Tonsils that are diseased become inflamed and swollen, while lymph nodes in the neck become enlarged and sensitive. Tonsils may also develop white patches.

The tonsils are a component of the lymphatic system, which aids in the battle against viruses. Tonsillectomy, on the other hand, maybe recommended if the tonsils restrict the airway or impede feeding, or if the patient has severe or recurring tonsillitis. It does not appear to enhance vulnerability to infections. Tonsils vary greatly in size and swell when infected.

Antibiotics are used to treat bacterial tonsil infections, particularly those caused by streptococcus. Tonsillectomy, or elimination of the tonsils, may be a possibility if infections reoccur after antimicrobial therapy or if breathing becomes difficult due to swollen tonsils.

Main Differences Between Adenoids And Tonsils        

  1. Adenoids are located in the upper throat while being behind the nose and soft palate Meanwhile, Tonsils are the two lumps at the back of the throat that are placed behind the nose and soft palate.
  2. Adenoids are difficult to identify, meanwhile tonsils are visible when the mouth is opened.
  3. Adenoids cause stuffy noses, ear issues, and mouth breathing, whereas tonsillitis causes fever, painful throat, white or yellow patches, swelling, and redness.
  4. Adenoids begin to diminish after a kid reaches the age of five, whereas tonsils remain throughout a person’s life.
  5. Adenoiditis is an enlargement of the adenoid. Tonsillitis, on the other hand, refers to tonsil hypertrophy.


Pathogens that enter your mouth or nose, such as germs or viruses, are trapped by your tonsils and adenoids. They include immune cells that create antigens that fight diseases before they spread throughout your body.

Our tonsils and adenoids are immune system components. They aid in the capture of germs that enter your nose and mouth. They frequently swell in reaction to discomfort or illness. However, if your tonsils or adenoids are regularly infected or producing other problems, one may require removal. This is a pretty frequent operation, and most patients are able to resume their normal activities approximately a week following the procedure.


  1. https://www.karger.com/Article/Abstract/24354
  2. https://europepmc.org/article/med/11082777