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This can include removal of the tonsils, adenoids, uvula and edge of the palate, and/or part of the base of the tongue (lingual tonsils). When removal of the lingual tonsils is necessary, it can be removed in one of two ways. If the lingual tonsil tissue is large along the back of the tongue, it is shaved in a side-to-side direction [Figure 1].
[1] [6] The adenoid may also be removed or shaved down, in which case it is known as an "adenotonsillectomy". [1] The partial removal of the tonsils is called a "tonsillotomy", which may be preferred in cases of OSA. [1] [7] [8] [9] The surgery has been described since at least as early as 50 AD by Celsus. [10]
Adenoidectomy is the surgical removal of the adenoid for reasons which include impaired breathing through the nose, chronic infections, or recurrent earaches. The effectiveness of removing the adenoids in children to improve recurrent nasal symptoms and/or nasal obstruction has not been well studied. [1]
Both tonsils are removed with coblation technology by applying precise amounts of plasma to detach the tonsils from the surrounding tissues without causing thermal damage. After the tonsils are fully removed, any bleeding that occurs at the back of the throat is stopped and the patient is woken up using medical drugs. Then the breathing tubes ...
The first involves surgery of the soft tissue (tonsillectomy, uvulopalatopharyngoplasty) and the second involves skeletal surgeries (maxillomandibular advancement). First, Phase 1 or soft tissue surgery is performed and after re-testing with a new sleep study, if there is residual sleep apnea, then Phase 2 surgery would consist of jaw surgery.
Additionally, tonsils may have a greater chance of growing back after removal if the procedure was performed before the tonsils have stopped growing, which typically occurs around 8 years old.
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The palatine tonsils are located in the isthmus of the fauces, between the palatoglossal arch and the palatopharyngeal arch of the soft palate.. The palatine tonsil is one of the mucosa-associated lymphoid tissues (MALT), located at the entrance to the upper respiratory and gastrointestinal tracts to protect the body from the entry of exogenous material through mucosal sites.