{"title":"Diseases of the adenoids and tonsils in children","authors":"Emma McNeill, Rory Houston","doi":"10.1016/j.mpsur.2024.05.017","DOIUrl":null,"url":null,"abstract":"<div><p>Diseases of the tonsils<span><span> and adenoids are extremely common in children and make up a significant part of the paediatric<span> ENT surgeon's practice, as well as presenting frequently to paediatric and primary care<span><span> teams. The majority of adenotonsillar pathology in children is either infective or obstructive in nature. This article discusses the anatomy and </span>pathophysiology of acute and chronic adenotonsillar disease and discusses how to evaluate a child with suspected adenotonsillar pathology clinically, in both the outpatient and emergency scenario. Surgical management and the </span></span></span>adenoidectomy<span><span> and tonsillectomy techniques are described. The current multidisciplinary working group guidelines regarding surgery for </span>obstructive sleep apnoea in children are also highlighted.</span></span></p></div>","PeriodicalId":74889,"journal":{"name":"Surgery (Oxford, Oxfordshire)","volume":"42 9","pages":"Pages 694-701"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgery (Oxford, Oxfordshire)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0263931924000905","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Diseases of the tonsils and adenoids are extremely common in children and make up a significant part of the paediatric ENT surgeon's practice, as well as presenting frequently to paediatric and primary care teams. The majority of adenotonsillar pathology in children is either infective or obstructive in nature. This article discusses the anatomy and pathophysiology of acute and chronic adenotonsillar disease and discusses how to evaluate a child with suspected adenotonsillar pathology clinically, in both the outpatient and emergency scenario. Surgical management and the adenoidectomy and tonsillectomy techniques are described. The current multidisciplinary working group guidelines regarding surgery for obstructive sleep apnoea in children are also highlighted.
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