Nguyen Brandon K, Quraishi Huma A
Department of Otolaryngology-Head and Neck Surgery, Rutgers New Jersey Medical School, 90 Bergen St, Ste 8100, Newark, NJ 07103, USA.
Pediatric Otolaryngology, Joseph M. Sanzari Children's Hospital, 30 Prospect Ave. WFAN Bldg 3rd Floor, Hackensack, NJ 07601, USA.
Pediatr Clin North Am. 2022 Apr;69(2):247-259. doi: 10.1016/j.pcl.2021.12.008.
Tonsillectomy and adenoidectomy are among the most commonly performed major pediatric operations in the United States, with more than 500,000 procedures performed annually. This procedure can be performed with or without adenoidectomy. These procedures were traditionally performed for recurrent tonsillitis; however, the vast majority of tonsillectomies are currently performed for obstructive symptoms. When performed for appropriate indications, tonsillectomy and adenoidectomy can greatly improve a child's quality of life and general health. Given the prevalence of these conditions and subsequent surgical procedures, evidence-based recommendations are regularly evaluated and updated. As such, familiarity with these guidelines is necessary for pediatric practitioners. This review summarizes the indications, complications, and outcomes for tonsillectomy and adenoidectomy, as well as provides a brief overview of operative techniques.
在美国，扁桃体切除术和腺样体切除术是最常开展的大型儿科手术之一，每年实施的手术超过50万例。该手术可在有或没有腺样体切除术的情况下进行。传统上，这些手术是为复发性扁桃体炎而进行的；然而，目前绝大多数扁桃体切除术是为阻塞性症状而进行的。当针对适当的适应症进行手术时，扁桃体切除术和腺样体切除术可极大地改善儿童的生活质量和总体健康状况。鉴于这些病症的普遍性以及随后的外科手术，基于证据的建议会定期进行评估和更新。因此，儿科从业者有必要熟悉这些指南。本综述总结了扁桃体切除术和腺样体切除术的适应症、并发症及手术结果，并简要概述了手术技术。
