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Tonsillectomy in children

Author(s): Hossein Nia AH

Journal: Iranian Journal of Pediatrics
ISSN 2008-2142

Volume: 3;
Issue: 11;
Start page: 289;
Date: 1990;
Original page

Despite declining rates of Tonsillectomy due to wide spread antibiotic therapy, Tonsillectomy is still the most common surgical procedure performed in the world. Even in highly developed countries such as USA the rate of Tonsillectomy exceeded one to two million cases in recent years. A statistical study of Tonsillectomy and adenoidectomy in three (2 public and 1 private) hospitals in Tehran shows that the maximum rates of Tonsillectomy are performed in July and August, which coincides with the summer vacations of our public schools. In our public hospitals the adults are Tonsillectomized under local anesthesia whereas Tonsillectomy with adenoidectomy is performed under general anesthesia. However, in private hospitals both children and adults are operated under general anesthesia with endotracheal intubation. Although tonsils are still guillotinized by induction anesthesia in many academic centers of the western countries, in our country tonsils are removed by snare dissection. This article reviews the anatomical and physiological aspects of the tonsils and includes a discussion on Tonsillectomy indications based on Pittsburgh pediatric hospital criteria. High-points and pitfalls of traditional Tonsillectomy are also discussed and the most important complications of the procedure, e.g. bleeding which may be hazardous and occasionally fatal, is remained. In addition, the application of modern technology such as cryosurgery and laser surgery is described
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