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Hyperthrophic tonsil and adenoid in children
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Hyperthrophic tonsil and adenoid in children

 

Hyperthrophic tonsil or adenoid is a prevalent respiratory disease in children. Major symptoms reported by patients include hearing loss, respiration difficulty, nasal congestion, etc. The hyperthrophic tonsil or adenoid usually oppresses or blocks the otopharyngeal tube, causing tympanitis or OSAS.

 

Symptoms

Ear symptoms: blocked pharynx of eustaching tube caused by tonsillar hyperthrophy and accumulation of imflammatory nasopharynx secretion; hearing loss, tinnitus and stuffy ears complicated by otitis media.

Nasal symptoms: nasosinusitis, stuffy nose, runny nose, mouth breathing, rhinolalia clausa, OSAS, etc.

Respiratory system infections: as the secretion keeps stimulating mucous membrane of the respiratory tract, patents often report symptoms of pharyngolaryngitis, trachitis, bronchitis, sound change, low fever, asthma, etc.

Abnormal facial growth: abnormal facial bone development, the narrow and long maxilla, arched hard palate, tooth exudation, irregular dentition, mandibular prolapse; spirit languish; rigid and dull facial expression.

 

Causes

As there is a lack of fibrous tissue membrane between the adenoid and the nasopharynx wall, inflammations can take place anytime, causing hyperplasia and other types of infections.

 

Diagnosis

Localized diagnosis of oral cavity, oropharynx, nasopharynx, hypopharynx and larynx: to identify the extent of the hyperthrophy and its relationship with the surrounding organs; Diagnosis of the of the upper neck and submandibular region: to observe the location, number, size, hardness and mobility of the lymph node.

•Imaging examination: to identify the location and size of the tonsillar hyperthrophy, which helps determine the clinical stages and relevant treatment plans

 

 

Treatment options

Medication therapy and surgical treatment are two major solutions for curing hyperthrophic tonsil or adenoid. Although the former has certain effect, it requires longer treatment procedure and lacks efficacy in eradicating the inflammatory symptoms. In this regard, surgical treatment is considered to be the most efficient solutions for relieving the inflammatory symptoms and curtailing the progress of the illness.

 

Surgical techniques oftentimes employed for tonsillectomy and adenoidectomy include:

∙ Cold technique

∙ Monopolar cautery

∙ Bipolar cautery

∙ Microbrider

∙ Harmonic scalpel

∙ KTP/CO2 laser

 

Surgical methods

Traditional surgical methods, which include curettage, electrocautery and laser-assisted tonsillectomy, are comparatively easier to be performed. Nevertheless, they are often carried out under certain surgical blind spots. Moreover, those surgical methods usually require longer operation time and abundant surgical experience of the attending physicians. Any inappropriate surgical performances can cause injuries to the adjacent tissues, such as soft palate and the nasal septum.

Endoscopic tonsillectomy and adenoidectomy guided by the low temperature plasma radiofrequency technology helps avoid the fundamental flaws of those traditional surgical methods. On the one hand, this technology helps improve the accuracy of surgery, avoiding the blindness of traditional manual curettage of adenoids and excessive resection of the pharynx wall. On the other hand, this technology effectively avoids adenoid residue, especially for adenoids that protrude into the posterior nostril. Moreover, the exquisite plasma wands ensure accurate resection of tonsil or adenoid, eliminating unnecessary surgical invasions and bleeding.

 

The following pictures illustrate the surgical procedures utilizing the low temperature plasma RF ablation technique:

 

Tonsillectomy

 

 

Adenoidectomy