Aydın Erdinç, Babakurban Seda Türkoğlu
Department of Otorhinolaryngology, Başkent University School of Medicine, Ankara, Turkey.
Turk Arch Otorhinolaryngol. 2015 Dec;53(4):163-167. doi: 10.5152/tao.2015.1348. Epub 2015 Dec 1.
Upper airway obstruction and sleeping disorders are important issues in syndromic children, including mouth, lower-upper jaw, or all facial abnormalities. Tonsillectomy and/or adenoidectomy is required because of systemic problems and upper airway obstruction that increase the existing systemic problems, except those anomalies. However, tonsillectomy and/or adenoidectomy are mostly avoided because of the tendency to cause both intubation/perioperative systemic problems and respiratory complications in the postoperative period and in delays in the oral intake. However, these surgeries are sometimes required. In this context, we present our experience related with performing tonsillectomy and/or adenoidectomy in syndromic children admitted to our hospital.
We retrospectively examined the data on tonsillectomy and/or adenoidectomy performed in syndromic patients in our clinic between 2001 and 2011.
We did not observe any postoperative complications in adenoidectomy and/or tonsillectomy performed by the same surgeon in 14 syndromic cases.
It should be noted that respiratory problems may arise from many different anatomical regions in syndromic patients. Therefore, surgery should be performed taking into consideration all of these factors in these patients. These patients must be hospitalized in the postoperative period.
上气道梗阻和睡眠障碍是综合征患儿的重要问题，包括口腔、上下颌或全颜面异常。除了那些异常情况外，由于全身问题以及上气道梗阻会加重现有的全身问题，因此需要进行扁桃体切除术和/或腺样体切除术。然而，由于扁桃体切除术和/或腺样体切除术往往会导致插管/围手术期全身问题以及术后呼吸并发症，还会导致经口进食延迟，所以大多避免进行此类手术。然而，有时这些手术是必要的。在此背景下，我们介绍了在我院收治的综合征患儿中进行扁桃体切除术和/或腺样体切除术的经验。
我们回顾性研究了2001年至2011年期间在我们诊所对综合征患者进行扁桃体切除术和/或腺样体切除术的数据。
在14例综合征病例中，由同一位外科医生进行的腺样体切除术和/或扁桃体切除术中，我们未观察到任何术后并发症。
应当注意，综合征患者的呼吸问题可能源于许多不同的解剖区域。因此，对这些患者进行手术时应考虑所有这些因素。这些患者术后必须住院治疗。
