Tonsillectomy & Adenoidectomy.Surgical technique for medical students. скачать в хорошем качестве

Tonsillectomy & Adenoidectomy.Surgical technique for medical students.

The incidence of the tonsillectomy and adenoidectomy has decreased in recent past years. It is still the most common surgery performed in children. This operation was peaked in the 1970's with one million cases performed per year. This video explains the operative technique of adenotonsillectomy for undergraduate and postgraduate students of otorhinolaryngology br Dr.Tariq Zahid Khan,a faculty. Indications of adenotonsillectomy Obstructive: Upper airway obstruction, sleep apnea, poor feeding and failure to thrive, hypernasal speech due to enlarged tonsils and adenoid Infective: Recurrent attacks of tonsillitis, cryptic tonsillitis, chronic tonsillitis, peritonsillar abscess, or halitosis Miscellaneous indications : unilateral enlargement with suspicion of neoplasm in the tonsil; Abnormal facial growth; recurrent hemorrhagic tonsillitis; velopharyngeal insufficiency secondary to enlarged tonsils Contraindications for tonsillectomy: Bleeding diathesis Poor anesthetic risk or uncontrolled medical illness Anemia Acute infection "hot tonsillectomy" or 'tonsillectomy a chaud' is reasonable treatment for peritonsillar abscess. Discuss the possible complications with patient or family Bleeding, infection, reaction to the anesthesia Damage to adjacent structures (lips, teeth, tongue) Assess for risk of velopharyngeal insufficiency and relate the potential for nasal regurgitation of food/fluid and hypernasal speech . Discuss altered taste, tongue numbness Relate: Patient may feel like 'the worst sore throat of his life' until it heals.