Lacosta J L, Manrique M, Carlos Infante J
Hospital San Millán, Servicio de O.R.L, Logrono.
An Otorrinolaringol Ibero Am. 1996;23(5):491-502.
The paper deals on the advantages for the rhinopharynx following adenoidectomy. The AA. explain their procedure for its removal under visual control. Both a radiological and microbiological study was done in 90 children waiting for the removal with the aim of realizing the changes derived to the upper air-way. The surgery enhances the adenoidal expression and significatively improves the rhinopharyngeal air-way (p < 0.001). Furthermore the pathogenic flora of epipharynx changes for benefit of the saprophytic flora (p < 0.001). The adenoidectomy is indicated when the adenoidal mass hinder the nasopharyngeal breathing, when causes adenoid outbreaks and also in those cases of stubborn secretory otitis not yielding to conservative treatment.
本文探讨了腺样体切除术后对鼻咽部的益处。作者解释了在视觉控制下切除腺样体的手术过程。对90名等待腺样体切除的儿童进行了放射学和微生物学研究,目的是了解上呼吸道的变化。手术增强了腺样体的表现,并显著改善了鼻咽气道(p < 0.001)。此外,咽上部的致病菌群发生了变化,有利于腐生菌群(p < 0.001)。当腺样体肿块阻碍鼻咽呼吸、引起腺样体发作以及在保守治疗无效的顽固性分泌性中耳炎病例中,建议进行腺样体切除术。