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Chapter-84 Adenoidectomy

BOOK TITLE: Textbook of Ear, Nose & Throat

Author
1. Kakkar Vikas
2. Gill GPS
3. Singh Sukhbir
4. Chattopadhaya Prasun
ISBN
9788180614460
DOI
10.5005/jp/books/10907_84
Edition
1/e
Publishing Year
2005
Pages
3
Author Affiliations
2. Govt Medical College, Patiala
3. GMC, Patiala
4. Govt Medical College, Patiala
Chapter keywords

Abstract

This chapter discusses adenoidectomy which is the removal of nasopharyngeal lymphoid tissue (adenoids) in children. Premedication is given usually half an hour before operation (phenargan and atropine or any other such combination can be used). General anaesthesia is usually employed with endotracheal intubation performed transorally with a pack of ribbon gauze around the tube. Adenoids are to be palpated in the nasopharynx after opening mouth with mouth gag. Adenoid curette with guard is taken behind soft palate where it rests against the posterior end of nasal septum. Suction is done to clear any bleeding. Curette without guard is next taken and light sweeping movements are repeated. Postoperative care same as for tonsillectomy operation, i. e. antibiotics, hygeine of oral cavity, pain killers and normal diet. Primary haemorrhage in adenoidectomy is mostly due to partial removal of adenoids and it usually stops after complete removal of tags and sometimes by postnasal packing.

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