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Special situations in tonsil and Adenoid disorder Special situations in tonsil and Adenoid disorder

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Special Situations in Management of Tonsil and Adenoid Disorders University of Texas Medical Branch Department of Otolaryngology Lawrence Elikan, M.D. Seckin Ulualp, M.D. January 11, 2006
Anatomy
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],Tonsillar branch Tonsil (main branch) Ascending palatine Tonsil
Anatomy Ascending Pharyngeal a. Lesser palantine a. Tonsillar branch of lesser palantine Tonsillar branch of ascending Pharyngeal a. Tonsillar branch of facial a. Tonsillar branch of ascending palatine a. Tonsillar branch of dorsal lingual a.
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Grading the Size of Tonsils ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tonsil Positions A B C A-C, - Tonsils may be bi-lobed with extension into the hypopharynx, or more rarely into the nasopharynx. Inferior extension is seen with a history of obstruction and relatively normal appearing tonsils.
Overview ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonsillar Abscess
Peritonsillar Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonsillar Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonsillar Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonsillar Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Peritonsillar Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unilateral Tonsil Enlargement
Unilateral Tonsillar Enlargement ,[object Object],[object Object],[object Object]
Unilateral Tonsillar Enlargement ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unilateral Tonsillar Enlargement ,[object Object],[object Object],[object Object],[object Object]
Hemorrhagic tonsillitis ,[object Object],[object Object],[object Object],[object Object]
Lingual Tonsils
Lingual Tonsils ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lingual Tonsil ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lingual Tonsils ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lingual Tonsils ,[object Object],[object Object]
Lingual Tonsils
Down’s Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object]
Down’s Syndrome ,[object Object]
Down’s Syndrome Goldstein et. al. Arch Otolaryngol Head Neck Surg.1998
Down’s Syndrome ,[object Object],[object Object],[object Object],[object Object]
Cleft Palate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cleft Palate ,[object Object],[object Object]
Cleft Palate ,[object Object]
General Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],Surgical Atlas of Pediatric Otolaryngology
General Considerations ,[object Object],[object Object]
Adenotonsillar Hypertrophy ,[object Object],[object Object],[object Object],[object Object]
Adenotonsillectomy-Indications ,[object Object],[object Object],[object Object]
Adenotonsillectomy-Indications ,[object Object],[object Object],[object Object]
Adenotonsillectomy-Indications ,[object Object],[object Object],[object Object]
Adenotonsillectomy-Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tonsillectomy-Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tonsillectomy-Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adenoidectomy-Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adenotonsillectomy-Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Adenotonsillectomy-Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Surgical Atlas of Pediatric Otolaryngology
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Surgical Atlas of Pediatric Otolaryngology
Complications ,[object Object],[object Object],[object Object],[object Object],Surgical Atlas of Pediatric Otolaryngology
Bibliography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Special situations in tonsil and Adenoid disorder Special situations in tonsil and Adenoid disorder

  • 1. Special Situations in Management of Tonsil and Adenoid Disorders University of Texas Medical Branch Department of Otolaryngology Lawrence Elikan, M.D. Seckin Ulualp, M.D. January 11, 2006
  • 3.
  • 4. Anatomy Ascending Pharyngeal a. Lesser palantine a. Tonsillar branch of lesser palantine Tonsillar branch of ascending Pharyngeal a. Tonsillar branch of facial a. Tonsillar branch of ascending palatine a. Tonsillar branch of dorsal lingual a.
  • 5.
  • 6.
  • 7. Tonsil Positions A B C A-C, - Tonsils may be bi-lobed with extension into the hypopharynx, or more rarely into the nasopharynx. Inferior extension is seen with a history of obstruction and relatively normal appearing tonsils.
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  • 28. Down’s Syndrome Goldstein et. al. Arch Otolaryngol Head Neck Surg.1998
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