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上海復旦大學附屬中山扁桃體

發布時間: 2022-05-27 15:38:04

⑴ 上海什麼醫院割除扁桃體最好``

復旦大學醫學院附屬眼耳鼻喉科醫院

醫院地址:上海市汾陽路83號 郵編:200031

電話:021-64377134 傳真:021-64377151

附近公交線:49、42、15、96、45路及地鐵常熟路站

⑵ 復旦大學附屬眼耳鼻喉科醫院孩子扁桃體經常發炎,化膿。有什麼好的治療方法嗎

摘要 如果孩子扁挑體經常發炎、化膿,建議釆用手術治療方法,切除扁桃體。

⑶ 問下寶寶腺樣體,扁桃體腫大上海復旦大學附屬眼耳鼻喉科醫院那個專家好

腺樣體不要輕易的動手術。一個是孩子症狀沒有那麼嚴重,腺樣體腫大對孩子造成的傷害,或許會遠遠小於腺樣體手術對孩子造成的傷害(手術需要全麻,切割都會對孩子造成傷害);再一個睡覺鼾聲、翻來覆去、用嘴呼氣,並不一定全是因為腺樣體腫大造成,其實我們大人也有這種情況,一個姿勢睡累了換一個姿勢。除非孩子腺樣體腫大造成孩子很明顯的症狀了,我的理解就是孩子睡覺困難,影響到身體發育,個子比同齡人小等。前一段時間我也遇到相同的問題,也咨詢了很多人,最後沒做手術,現在用了兩種噴霧劑治療:必清清鼻護理液,內舒拿糠酸莫米松鼻部噴霧劑。 下面是朋友從加拿大給發過來的一些腺樣體的治療資料,你可以參考一下: Many orthodontists have believed, based on limited evidence, that chronic upper airway obstruction results in abnormal craniofacial and dental growth — the "adenoid facies" — and that this too can be modified favorably by adenoidectomy or adenotonsillectomy. 特殊臉型的證據有限。 OVERVIEW OF INDICATIONS — Tonsil and adenoid surgery may be classified as obligatory (absolute) or elective (conditional), depending upon the nature and severity of the underlying problem(s). Obstruction and infection of the upper respiratory tract form the two major categories of indications for excision of the tonsils and/or adenoids. Obstruction may involve the nasopharyngeal airway, oropharyngeal airway, and the oropharyngeal deglutitory (swallowing) pathway. Infection (recurrent or chronic) may involve the middle ears, mastoid air cells, nose, nasopharynx, adenoids, paranasal sinuses, oropharynx, tonsils, peritonsillar tissues, and cervical lymph nodes. Other, more general complaints, such as poor appetite or slow weight gain in the absence of problematic infection or obstruction, which used to be widely accepted as indications for tonsil and adenoid surgery, may still occasionally be used to justify surgery, but whether and how often this occurs has not been determined. Adenotonsillectomy is often thought of, and most often carried out, as a single, combined operation. However, in assessing indications for surgery, the two components require consideration indivially. (See 'General considerations' below and 'Complications and adverse effects' below.) ABSOLUTE INDICATIONS — Absolute indications mandating surgery consist of the following: Extreme obstruction of the nasopharyngeal or oropharyngeal airways by adenoids, tonsils, or both 堵塞極為嚴重。 Tonsillar obstruction of the oropharynx that interferes with swallowing 吞咽困難 Malignant tumor of the tonsil (or suspicion of malignancy) (see "The pediatric physical examination: HEENT", section on 'Tonsillar asymmetry') 惡性腫瘤 Uncontrollable hemorrhage from tonsillar blood vessels 無法控制和扁桃體流血 Nasopharyngeal or oropharyngeal obstruction that is severe enough to prevent, or cause discomfort in, nasal breathing or to result in frequent episodes of apnea ring sleep, is an absolute indication for surgery. In extreme cases, obstructive sleep apnea may result in alveolar hypoventilation, pulmonary hypertension, and cor pulmonale. Obstructive sleep apnea also may result in neurocognitive impairment, behavioral problems, and impaired physical growth. (See "Cor pulmonale" and "Evaluation of suspected obstructive sleep apnea in children".) The evaluation and management of children with suspected obstructive sleep apnea are discussed separately. COMPLICATIONS AND ADVERSE EFFECTS — Tonsillectomy and adenoidectomy are major operations that require general anesthesia. As such, they are attended by the risk of various complications, not all of which are preventable under even ideal circumstances of care, and some of which are potentially lethal. The incidence of complications varies depending upon surgical technique . Major complications (eg, delayed bleeding requiring intervention) occur in approximately 3 percent of cases . In the randomized trials of tonsillectomy for the prevention of recurrent throat infection described above , the complication rates were 8 and 14 percent. Complications included bleeding; adverse effects of anesthesia; infection, including pharyngitis, otitis media, and bronchitis; severe nausea; and severe or protracted dysphagia. 因為全麻,並發症多。 SUMMARY AND RECOMMENDATIONS Indications and contraindications Obstruction and infection of the upper respiratory tract form the two major categories of indications for excision of the tonsils and/or adenoids. (See 'Overview of indications' above.) Absolute indications for tonsillectomy and/or adenoidectomy include obstruction of the nasopharyngeal or oropharyngeal airways, interference with swallowing, malignant tumor of the tonsil or suspicion of malignancy, and uncontrollable hemorrhage from tonsillar blood vessels. (See 'Absolute indications' above.) Conditional indications for tonsillectomy (with or without adenoidectomy) include recurrent acute throat infections, chronic tonsillitis, tonsillar obstruction that alters voice quality, the syndrome of periodic fever, aphthous stomatitis, pharyngitis, and cervical adenitis (PFAPA syndrome), halitosis, peritonsillar abscess, and chronic carriage of group A beta-hemolytic Streptococci. Decisions regarding tonsillectomy and/or adenoidectomy in children with conditional indications should be made on a case-by-case basis. (See 'Tonsillectomy' above and 'General considerations' above and "Periodic fever with aphthous stomatitis, pharyngitis and adenitis (PFAPA syndrome)", section on 'Treatment'.) Tonsillectomy provides moderate benefits for children with recurrent throat infection who are severely affected (as defined above) when compared with symptomatic care and antimicrobial treatment (as indicated). Decisions regarding tonsillectomy in such patients should be made on a case-by-case basis. (See 'Recurrent infection' above.) We do not suggest tonsillectomy for children who are mildly or moderately affected (Grade 2A). For such children, the benefits of surgery, if any, are modest and outweighed by the potential risks. (See 'Recurrent infection' above.) Conditional indications for adenoidectomy in children include moderate nasal obstruction with persistent symptoms; recurrent acute otitis media (AOM) or chronic otitis media with effusion (OME) in children who have undergone tympanostomy-tube insertion and whose tubes have been extruded; and chronic sinusitis that has failed to respond to sustained antimicrobial treatment. Decisions regarding elective adenoidectomy should be indivialized according to the potential benefits and risks and the values and preferences of the family and child. (See 'Adenoidectomy' above and 'General considerations' above.) We suggest that children with symptoms of moderate nasal obstruction (mouth breathing, hyponasal speech, impaired olfaction) and objective evidence of adenoid hypertrophy be given a trial course of antibiotics for one month and nasal glucocorticoids for up to six months if prompt initial improvement is seen (Grade 2B). We suggest adenoidectomy for those children with moderate nasal obstruction whose obstructive symptoms have been present for a substantial period and have not responded adequately to conservative measures (Grade 2B). (See 'Nasal obstruction' above.) We suggest adenoidectomy for children with recurrent AOM or chronic OME who have previously undergone tympanostomy-tube insertion and whose tubes have been extruded (Grade 2A). We do not suggest adenoidectomy for children with recurrent AOM or chronic OME who have not undergone tympanostomy-tube insertion (Grade 2A). (See 'Otitis media' above and "Acute otitis media in children: Prevention of recurrence", section on 'Adenoidectomy or adenotonsillectomy' and "Otitis media with effusion (serous otitis media) in children", section on 'Adenoidectomy and tonsillectomy'.) We suggest adenoidectomy for children with chronic sinusitis that has not responded adequately to vigorous medical treatment (Grade 2C). The efficacy of adenoidectomy in such children is variable. (See 'Chronic sinusitis' above.) There are three general categories of contraindications to tonsillectomy and/or adenoidectomy: velopharyngeal, hematologic, infectious. (See 'Contraindications' above.) Complications Bleeding requiring blood transfusion or additional surgery is the most common serious complication of tonsillectomy and/or adenoidectomy; it occurs in approximately 2 to 4 percent of cases. The need for transfusion is uncommon. Less common serious complications include adverse reactions to anesthesia, velopharyngeal insufficiency, and upper airway obstruction. (See 'Complications and adverse effects' above.) Postoperative bleeding usually

⑷ 請問大家扁桃體發炎去上海醫院是掛什麼科的是五官科還是內科

復旦大學附屬眼耳鼻喉科醫院
地址:上海市徐匯區汾陽路83號
掛耳鼻喉科

⑸ 復旦大學附屬眼耳鼻喉科醫院扁桃體微創手術需要做院嗎

當然了,這手術有個很大問題是術後容易出血,所以術後必須的留院觀察

⑹ 上海復旦大學附屬眼耳鼻喉醫院割扁桃體有低溫等離子手術嗎

3、扁桃體手術後要靠扁桃體窩內的血管自行收縮,血液凝固止血。而各種原因造成凝血和血管彈性下降都可引起術後出血,因此有造血和凝血系統的疾病如血友病、再生障礙性貧血、白血病、紫癜等,都不宜手術。

⑺ 我想在上海復旦大學做一個扁桃體摘除手術,我想預約的專家12月份才有號,有點等不及了。病情已經是確定

病情分析:
扁桃體摘除手術,只是很普通的小手術,那種手術很簡單,屬於所有醫生常規都應該會的操作。醫院只是普通的醫生才做那種手術的,專家是不做那種手術的。

意見建議:
不必等專家了,選擇自己空閑的時間,及時去醫院進行手術治療。

⑻ 痰多,在上海復旦附院眼耳鼻喉科醫院看過,說扁桃體肥大,在必要情況下可切除,請問醫生哪種扁桃體手術創

病情分析: 你好,扁桃體肥大,一般情況下在成年後可以考慮做手術切除,由於扁桃體部位比較表淺,手術一般採用調套切的辦法來進行切除。意見建議:這種手術本身也沒有微創的辦法,切除後主要的擔心就是出血的問題,所以一般必須住院手術切除。術後注意止血,三到五天基本就會恢復了。

⑼ 復旦大學附屬眼耳鼻喉科醫院寶寶四歲多,總是流鼻涕,說頭疼,拍了片說是雙側扁桃體增大,腺樣體增大,左

摘要 鼻竇炎 小兒患病比較常見。由於兒童的發育不完全,隨著年齡增大,症狀會有所好轉。

⑽ 復旦大學附屬眼耳鼻喉科醫院

咨詢記錄 · 回答於2021-08-05

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