Leboulanger Nicolas
Orthod Fr. 2013 Jun;84(2):185-90. doi: 10.1051/orthodfr/2013048. Epub 2013 May 30.
Obstructive diseases of children's upper airways are frequent, mostly caused by tonsils and adenoids hypertrophy. A nasal septum deviation or a lower turbinate hypertrophy may also cause a significant obstruction. Tonsillectomy and adenoidectomy must be performed in case of clinical obstruction, sometimes documented by a sleep study. A tonsils' hypertrophy without significant obstruction and clinical symptoms is not an indication of adenotonsillectomy, even in case of snoring or if an orthodontic treatment is planned.
儿童上气道阻塞性疾病很常见,主要由扁桃体和腺样体肥大引起。鼻中隔偏曲或下鼻甲肥大也可能导致明显阻塞。如果出现临床阻塞,有时通过睡眠研究记录,就必须进行扁桃体切除术和腺样体切除术。即使存在打鼾或计划进行正畸治疗,扁桃体肥大但无明显阻塞和临床症状也不是腺样体扁桃体切除术的指征。