Endoscopic power cut by mouth of 78 cases of adenoids in children.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic power cut by mouth of 78 cases of adenoids in children [Keywords:] adenoids; nasal endoscopy Our department from October 2002 to September 2007 Bank adenoidectomy in children in 78 cases, nasal endoscopy with general anesthesia in children by oral adenoid power cut of 70 cases, satisfactory results are reported as follows. 1 Clinical data 1.1 General information on a total of 70 cases of this group of patients, male 40 cases, 30 females, aged 3 to 13 years of age, duration of 0.5 to 3.0 years, Preoperative nasopharynx (CR) tablets or horizontal position nasopharynx CT films were , show hypertrophy, various degrees of choanal obstruction, local purulent secretions are more viscous .70 patients had sleep snoring, suction nose symptoms, of which 36 cases have ears, nausea, hearing loss (acoustic impedance B-type or C type), diagnosed as secretory otitis media, the group of 45 patients had palatine tonsil hypertrophy, and simultaneously palate tonsillectomy. 1.2 surgical intubation general anesthesia intravenous anesthesia, the patient supine, suspended head thrown back position into the first pre-operative ephedrine nasal spray into 2 times, shrink the nasal cavity, the opening device is set to expose the oropharynx and the palatine tonsil , well after routine tonsillectomy bleeding nostril with a small suction tube used to insert, pull up the soft palate, nasopharynx net absorption purulent secretions, nasal endoscopy with 30 nasopharynx case, we can see adenoids, pharynx drum orifice and the surrounding structures, first in small oral adenoid curette adenoidectomy to the nasopharynx to scrape as much as possible, such as a scrape can be satisfied once again. yarn ball line by mouth nasopharynx, 5 min after the wound to stop bleeding, remove the yarn ball, at 70 nasal endoscope electric cutting left in the round pillow, and choanal adenoid tissue, in particular, oropharyngeal general margin of adenoids are oozing