Table of Contents

HK J Paediatr (New Series)
Vol 12. No. 4, 2007

HK J Paediatr (New Series) 2007;12:266-269

Personal Practice

Tonsillectomy and Adenoidectomy: Otolaryngologist's Perspective
扁桃體切除術及腺樣體切除術:耳鼻喉科醫師的觀點

Y Hui, BYH Wong


Abstract

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.

患有扁桃體和腺樣體疾病的小兒常常得到兒科醫生和耳鼻喉科醫生雙方的診治,耳鼻喉科醫生介入外科治療。本文主要討論耳鼻喉科醫生常常遇到的問題,包括外科治療病人的選擇、術前討論以及手術併發症。儘管有很多新的外科手術儀器可供選擇,但是用不銹鋼儀器如手術剪和刮匙等進行切除,仍是主要手術方法。近來,有人採用囊下組織切除術減少扁桃體體積,從而減輕梗阻症狀和減少術後併發症的發病率,該方法對阻塞性睡眠窒息患兒的療效,尚有待研究長期的隨診資料加以證實。

Keyword : Adenoidectomy; Obstructive sleep apnoea; Tonsillectomy

關鍵詞:腺樣體切除術、阻塞性睡眠窒息、扁桃體切除術

 
 

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