Zocconi E
Istituto per l'Infanzia, Trieste, Italia.
Pediatr Med Chir. 1994 May-Jun;16(3):281-3.
The aim of this paper is evaluate the risk and the benefit to tonsillectomy and adenoidectomy in very young children. Between January 1989 and May 1993 we have operated on 166 children less than 3 years old (98 adenoidectomies and 68 adenotonsillectomies). 19 one year old children were submitted to adenoidectomy and 7 to tonsillectomy, the youngest was 7 months old. The indication for adenoidectomy were prevalent mouth breathing, snoring and recurrent otitis media; the criteria for tonsillectomy have been obstructive sleep problems, history of snoring, eating and swallowing disorders (97% of cases) and recurrent viral tonsillitis (3% of cases). All operation were performed under general anesthesia with children in Rose position. Postoperatively no antibiotics were given and only one dose of analgesic drug. We have never used aspirin either before or after surgery. No child had postoperative bleeding. No child has been readmitted for dehydration. We conclude after this study that tonsillectomy and adenoidectomy can be a safe procedure also in very young children.
本文旨在评估在非常年幼的儿童中进行扁桃体切除术和腺样体切除术的风险与益处。在1989年1月至1993年5月期间，我们为166名3岁以下儿童实施了手术（98例腺样体切除术和68例腺样体扁桃体切除术）。19名1岁儿童接受了腺样体切除术，7名接受了扁桃体切除术，最小的患儿为7个月大。腺样体切除术的指征主要为张口呼吸、打鼾和复发性中耳炎；扁桃体切除术的标准为阻塞性睡眠问题、打鼾史、进食和吞咽障碍（97%的病例）以及复发性病毒性扁桃体炎（3%的病例）。所有手术均在全身麻醉下进行，患儿取罗斯体位。术后未使用抗生素，仅给予一剂镇痛药。手术前后我们从未使用过阿司匹林。没有患儿出现术后出血。没有患儿因脱水再次入院。通过这项研究我们得出结论，扁桃体切除术和腺样体切除术对于非常年幼的儿童而言也是一种安全的手术。
