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مرکز تحقیقات گوش، گلو،بینی، جراحی سروگردن دانشگاه علوم پزشکی مشهد. Palatine tonsils. Veins Regional plexuses veins & Jugular vein Lymph Deep Neck lymph nodes Nerve Glossopharyngeal nerve & Vagus. Adenoids. Artery Pharyngeal artery Ascendant Pharyngeal a. &Facial artery
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مرکز تحقیقات گوش، گلو،بینی، جراحی سروگردن دانشگاه علوم پزشکی مشهد
Palatine tonsils • VeinsRegional plexuses veins & Jugular vein • Lymph Deep Neck lymph nodes • Nerve Glossopharyngeal nerve & Vagus
Adenoids • Artery Pharyngeal artery Ascendant Pharyngeal a. &Facial artery • Lymph Retropharyngeal Nodes • Nerves Glossopharyngeal nerve
Absolutely Indication Of Adenotonsilectomy • Recurrent Infectionof tonsils ( 7 attack In year, 5 attack every Year for 2years, or 3 attack in 3 years) • Tonsillitis & Seizure • Quinsy Abscess • Carrier of Diphtheria • Malignancy • Sleep Apnea • Malocclusion • Sever hypertrophy of A/T that compromise airway & deglutition
Surgical Indication of Adneoidectomy • Recurrent disease of middle ear • Large adenoids with obstruction of airway • Recurrent sinusitis (Ethmoiditis) • Malocclusion (open bite or cross bite)
Relative contraindication of A/T • Obvious or occult cleft palate • Acute infection in pharynx&tonsils • Under 3 years old • Hb less than 10 & Ht less than 30 • Allergy • Epidemic Polio