Tonsillectomy and Adenoidectomy
Objective
• Enucleation of the tonsils either by dissection or guillotine so as to remove an infected gland
• And curetting of the adenoids.
Position
• Dissection: Supine, with the head and neck in extension
• Guillotine: First supine with the head to one side, and then lateral for adenoidectomy.
Anesthesia
General.
Procedure
1. A mouth gag is inserted.
2. The tonsil is held with tonsil holding forceps towards the midline.
3. Incision made with curved scissor through mucous at the point of joining of anterior pillar and tonsil.
4. Tonsil freed by blunt dissection.
5. Bleeding vessel clamped and tied.
6. Other tonsil also removed in similar manner.
7. Gag removed after hemostasis.
Adenoidectomy
Objective
• Adenoids curetted with adenoid curette
• The instruments pressed hard against posterior pharyngeal wall
• Downward sweep
• Avoid contact with mucosa of pharynx.
Instruments
Tonsillectomy and Adenoidectomy set.
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