Adenoid Vegetation And Tonsil Hypertrophy课件.pptVIP

sun peng Adenoid Vegetation腺样体肥大 And Tonsil Hypertrophy扁桃体肥大 Beijing Children’s Hospital ENT Case Report MEDICAL HISTORY 4 –year-boy Sleep with snoring 2 years No snuffle（鼻塞） and nasal mucus（流涕） in daytime Always undynamic（精力差） in daytime Case Report PHYSICAL EXAMINATION Nasal cavity（鼻腔） and mucus membrane（鼻黏膜）:negative Auris externa （耳道）and membrane tympani（鼓膜）:negative Tonsil（扁桃体）:Ⅲ? Case Report Dormant circs（睡眠情况） Snore loudly Breathe with opening his mouth How to diagnose? Question one: How can cause snoring ? Obstruction of upper respiratory tract（上气道） by any reason all can cause snoring. How to diagnose? Question two : What can obstruct the upper respiratory tract ? Tonsil hypertrophy（扁桃体肥大） can obstruct oropharynx（口咽）. How to diagnose？ Question three: Is upper respiratory tract obstructed only by obese tonsil? Not only !Adenoid vegetation（腺样体肥大） also can obstruct upper airway. What is adenoid（腺样体）? Adenoid is a lymphatic tissue（淋巴组织） like tonsil. Adenoid located at roof of nasopharynx（鼻咽顶）. We also call it pharyngeal tonsil（咽扁桃体）. We can’t see it straightway How to examine adenoid? Lateral position X-ray plate of nasopharynx （鼻咽侧位片） and nasopharyngo-fiberoscope（纤维鼻咽镜） are good choice. Nasopharyngo-fiberoscope and lateral position X-ray plate of nasopharynx(normal) Nasopharyngo-fiberoscope and lateral position X-ray plate of nasopharynx(abnormity) Diagnosis Adenoid vegetation（腺样体肥大） Tonsil hypertrophy（扁桃体肥大） Treatment Adenoidectomy（腺样体切除术） and tonsillectomy （扁桃体切除术）is the effective treatment for snoring disease in childhood. The rate of efficiency is over 90% Effect of postoperative（术后） Conclusion Adenoid vegetation（腺样体肥大） and tonsil hypertrophy（扁桃体肥大） is the most familiar reason of snore in childhood. Operative cure is the most effective treatment for these disease. Thank you!Bye -bye * * normal airway 正常气道 nasal septum 鼻中隔 adenoid 正常腺样体 normal airway 正常 气道 Left inferior nasal concha 左侧下鼻甲 remnants Airw