Private Practice, Hong Kong, China
Y Hui ( 許由 ) MBBS(HK), FRCSEd, FHKCORL
Division of Otorhinolaryngology, Head & Neck Surgery, Department of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong, China
BYH Wong ( 黃懿行 ) MBBS(HK), FRCS, FHKCORL
Correspondence to: Dr Y Hui*
*Pedder Clinic, 7/F, Pedder Building, 12 Pedder Street, Central, Hong Kong
Received 5 August, 2007
Children with tonsils and adenoid problems are often managed by both the paediatrician and otolaryngologist. Otolaryngologists are involved when surgical treatment is necessary. This paper discuss the issues that otolaryngologist usually encounter, including selection of patient for surgery, pre-operative councilling, and surgical complication. New surgical tools are available. Yet dissection with cold steel e.g. scissors and curette, is still the technique to beat. There is a recent interest in tonsil volume reduction by subcapsular removal of tissue, thereby reducing both the obstruction and postoperative morbidity. Long term follow up is necessary to define it's role in management of patients with obstructive sleep apnoea.