Children tonsillectomy how to do

summary

Tonsillar disease will affect the health of patients, especially children, the resistance is relatively poor, and the physical quality is not very good, for pain tolerance is relatively small, in order to better understand tonsillectomy, let's talk about how to do children's tonsillectomy.

Children tonsillectomy how to do

First: anesthesia and posture: if local anesthesia is used, take the sitting or semi sitting position. If the pharyngeal reflex is sensitive, 1% Caine can be sprayed on the pharynx, and then 1% novocaine (plus 1:1000 adrenaline) can be used to infiltrate the anesthesia incision under the mucosa of lingual palatal arch and pharyngeal palatal arch and around the outer capsule of tonsil. The tonsil is clamped with tonsil forceps and pulled inward and upward to expose the mucosa between the free edge of lingual palatal arch and tonsil The mucosa was incised with a curved knife, and the mucosa between pharyngopalatal arch and tonsil was incised backward.

The second is dissection. The vascular clamp or stripper is inserted into the incision of lingual palatal arch, and the upper pole of tonsil is separated upward. Then the upper pole of tonsil is clamped with tonsil clamp, and the surrounding tissue of tonsil is separated from its capsule by stripper from up to down until its lower pole. Remove the tonsil, put the steel wire of tonsil snare around the tonsil, at the same time, lift the tonsil up, press the steel wire down, tighten the steel wire ring, twist the lower pole of tonsil, and remove the tonsil completely.

Third: hemostasis: after tonsillectomy, the tonsillar fossa was immediately compressed with a big cotton ball to stop bleeding. If blood vessels were found bleeding, ligation was given. Finally, the lingual palatal arch was pulled open with the palatal arch retractor, and the tonsillar fossa was fully exposed for examination. If the bleeding had stopped completely and there was no residual tonsillar tissue, the operation on one side was completed. During general anesthesia, the patient should lie on his back, put a small pillow under his shoulder, and lower the operating table so that the head is slightly lower than the chest, so as to avoid the blood being inhaled into the airway during the operation.

matters needing attention

In general, the operation process is divided into the above three parts, each part has the corresponding technical content. But in the operation process must do a good job in anesthesia, so it will reduce the pain of children patients. Removal of the tonsils can prevent further spread of the disease.