上海复旦大学附属中山扁桃体
⑴ 上海什么医院割除扁桃体最好``
复旦大学医学院附属眼耳鼻喉科医院
医院地址:上海市汾阳路83号 邮编:200031
电话:021-64377134 传真:021-64377151
附近公交线:49、42、15、96、45路及地铁常熟路站
⑵ 复旦大学附属眼耳鼻喉科医院孩子扁桃体经常发炎,化脓。有什么好的治疗方法吗
摘要 如果孩子扁挑体经常发炎、化脓,建议釆用手术治疗方法,切除扁桃体。
⑶ 问下宝宝腺样体,扁桃体肿大上海复旦大学附属眼耳鼻喉科医院那个专家好
腺样体不要轻易的动手术。一个是孩子症状没有那么严重,腺样体肿大对孩子造成的伤害,或许会远远小于腺样体手术对孩子造成的伤害(手术需要全麻,切割都会对孩子造成伤害);再一个睡觉鼾声、翻来覆去、用嘴呼气,并不一定全是因为腺样体肿大造成,其实我们大人也有这种情况,一个姿势睡累了换一个姿势。除非孩子腺样体肿大造成孩子很明显的症状了,我的理解就是孩子睡觉困难,影响到身体发育,个子比同龄人小等。前一段时间我也遇到相同的问题,也咨询了很多人,最后没做手术,现在用了两种喷雾剂治疗:必清清鼻护理液,内舒拿糠酸莫米松鼻部喷雾剂。 下面是朋友从加拿大给发过来的一些腺样体的治疗资料,你可以参考一下: 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. 特殊脸型的证据有限。 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 堵塞极为严重。 Tonsillar obstruction of the oropharynx that interferes with swallowing 吞咽困难 Malignant tumor of the tonsil (or suspicion of malignancy) (see "The pediatric physical examination: HEENT", section on 'Tonsillar asymmetry') 恶性肿瘤 Uncontrollable hemorrhage from tonsillar blood vessels 无法控制和扁桃体流血 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. 因为全麻,并发症多。 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 请问大家扁桃体发炎去上海医院是挂什么科的是五官科还是内科
复旦大学附属眼耳鼻喉科医院
地址:上海市徐汇区汾阳路83号
挂耳鼻喉科
⑸ 复旦大学附属眼耳鼻喉科医院扁桃体微创手术需要做院吗
当然了,这手术有个很大问题是术后容易出血,所以术后必须的留院观察
⑹ 上海复旦大学附属眼耳鼻喉医院割扁桃体有低温等离子手术吗
3、扁桃体手术后要靠扁桃体窝内的血管自行收缩,血液凝固止血。而各种原因造成凝血和血管弹性下降都可引起术后出血,因此有造血和凝血系统的疾病如血友病、再生障碍性贫血、白血病、紫癜等,都不宜手术。
⑺ 我想在上海复旦大学做一个扁桃体摘除手术,我想预约的专家12月份才有号,有点等不及了。病情已经是确定
病情分析:
扁桃体摘除手术,只是很普通的小手术,那种手术很简单,属于所有医生常规都应该会的操作。医院只是普通的医生才做那种手术的,专家是不做那种手术的。
意见建议:
不必等专家了,选择自己空闲的时间,及时去医院进行手术治疗。
⑻ 痰多,在上海复旦附院眼耳鼻喉科医院看过,说扁桃体肥大,在必要情况下可切除,请问医生哪种扁桃体手术创
病情分析: 你好,扁桃体肥大,一般情况下在成年后可以考虑做手术切除,由于扁桃体部位比较表浅,手术一般采用调套切的办法来进行切除。意见建议:这种手术本身也没有微创的办法,切除后主要的担心就是出血的问题,所以一般必须住院手术切除。术后注意止血,三到五天基本就会恢复了。
⑼ 复旦大学附属眼耳鼻喉科医院宝宝四岁多,总是流鼻涕,说头疼,拍了片说是双侧扁桃体增大,腺样体增大,左
摘要 鼻窦炎 小儿患病比较常见。由于儿童的发育不完全,随着年龄增大,症状会有所好转。
⑽ 复旦大学附属眼耳鼻喉科医院
咨询记录 · 回答于2021-08-05
