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[1] [6] The adenoid may also be removed or shaved down, in which case it is known as an "adenotonsillectomy". [1] The partial removal of the tonsils is called a "tonsillotomy", which may be preferred in cases of OSA. [1] [7] [8] [9] The surgery has been described since at least as early as 50 AD by Celsus. [10]
Adenoidectomy is the surgical removal of the adenoid for reasons which include impaired breathing through the nose, chronic infections, or recurrent earaches. The effectiveness of removing the adenoids in children to improve recurrent nasal symptoms and/or nasal obstruction has not been well studied. [1]
Uvulopalatopharyngoplasty (also known by the abbreviations UPPP and UP3) is a surgical procedure or sleep surgery used to remove tissue and/or remodel tissue in the throat. This could be because of sleep issues. Tissues which may typically be removed include: The tonsils; The adenoids; Tissues which may typically be remodeled include:
Additionally, tonsils may have a greater chance of growing back after removal if the procedure was performed before the tonsils have stopped growing, which typically occurs around 8 years old.
Both tonsils are removed with coblation technology by applying precise amounts of plasma to detach the tonsils from the surrounding tissues without causing thermal damage. After the tonsils are fully removed, any bleeding that occurs at the back of the throat is stopped and the patient is woken up using medical drugs. Then the breathing tubes ...
Children with obstructive sleep apnea typically have enlarged tonsils and adenoid tissue. Surgery on children is over 80% successful by simply performing an adenoidectomy and tonsillectomy. Those less likely to benefit from an adenotonsillectomy are obese children and those with other medical problems, such as Down Syndrome. [5]