مرکز تحقیقات گوش، گلو،بینی، جراحی سروگردن دانشگاه...
description
Transcript of مرکز تحقیقات گوش، گلو،بینی، جراحی سروگردن دانشگاه...
مرکز تحقیقات گوش، گلو،بینی،
جراحی سروگردن دانشگاه علوم
پزشکی مشهد
Palatine tonsils VeinsRegional plexuses veins & Jugular vein
Lymph Deep Neck lymph nodes
Nerve Glossopharyngeal nerve & Vagus
AdenoidsArtery Pharyngeal artery Ascendant
Pharyngeal a. &Facial artery
Lymph Retropharyngeal Nodes
Nerves Glossopharyngeal nerve
Absolutely Indication Of Adenotonsilectomy
Recurrent Infection of tonsils ( 7 attack In year,
5 attack every Year for 2years, or 3 attack in 3 years)
Tonsillitis & Seizure
Quinsy Abscess
Carrier of Diphtheria
Malignancy
Sleep Apnea
Malocclusion
Sever hypertrophy of A/T that compromise airway & deglutition
Surgical Indication of Adneoidectomy
Recurrent disease of middle ear
Large adenoids with obstruction of airway
Recurrent sinusitis (Ethmoiditis)
Malocclusion (open bite or cross bite)
Relative contraindication of A/T
Obvious or occult cleft palate
Acute infection in pharynx&tonsils
Under 3 years old
Hb less than 10 & Ht less than 30
Allergy
Epidemic Polio