Electrosurgical cutting and laser surgery squeezing children with obstructive sleep hypopnea syndrome.docVIP

 PAGE \* MERGEFORMAT 6 Electrosurgical cutting and laser surgery squeezing children with obstructive sleep hypopnea syndrome [Key Words] high-frequency electric surgical laser cut extruded children with obstructive sleep hypopnea syndrome Children in special physiological stage of growth and development, some of the more serious cases can not be identified adult standard, easily overlooked and delayed treatment. For the early diagnosis of OSAHS in children with the new method of surgical treatment, now in January 1996 to 2006 our hospital on Jan. 72 cases of childhood OSAHS patients were retrospectively analyzed. The report is as follows. 1 Materials and Methods 1.1 Clinical data The group of 72 patients, 49 males and 23 females, aged 2 to 14 years, mean 6 years old. 1.2 Diagnosis The tonsil, adenoid hypertrophy, inferior turbinate hypertrophy are the most common cause of OSAHS children, by understanding the history of children’s snoring, nocturnal respiratory motion abnormalities. Marcus made reference to blood gas analysis as a diagnostic indicator, SaO2 lt;90%, PETCO2 gt; 60 mmHg, or 60% of sleep time PETCO2gt; 45 mmHg [1]. with paranasal sinus CT coronal and horizontal position nasopharynx lateral view (adenoid hypertrophy, nasal polyps, sinusitis), MR image data such as diagnosis. 1.3 Procedures 72 cases, 31 cases of single tonsil surgery; tonsillectomy + adenoidectomy surgery 18 cases; single inferior turbinate surgery 29; + nasal inferior turbinate surgery in 5 cases. In addition to this group adenoid surgery, nasal surgery required in some cases the whole Ma, the rest were implemented in the clinic under local anesthesia. tonsil squeezing electrosurgical excision procedure: children take semi-sitting position, local anesthesia, the surgeon who crowded under the cutter from tonsil pole sets in, turn the knife ring behind the tonsil and set into the upper pole to the other hand thumb to squeeze into the ring all the tonsils, the