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•Negus tonsil artery forceps: as a haemostat, replaces tonsil artery forceps; used to tie ligature at a depth and ligature won't slip due to its curve tip. •Peritonsilar abscess forceps: to drain abscesses in the soft tissue adjacent to the palatine tonsils •Denis Brown's tonsil holding forceps: to hold the tonsil during dissection
Waldeyer's tonsillar ring (pharyngeal lymphoid ring, Waldeyer's lymphatic ring, or tonsillar ring) is a ringed arrangement of lymphoid organs in the pharynx. Waldeyer's ring surrounds the naso- and oropharynx , with some of its tonsillar tissue located above and some below the soft palate (and to the back of the mouth cavity ).
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.
Tonsillectomy is a surgical procedure in which both palatine tonsils are fully removed from the back of the throat. [1] The procedure is mainly performed for recurrent tonsillitis , throat infections and obstructive sleep apnea (OSA). [ 1 ]
Each tubal tonsil is located posterior to the opening of the Eustachian tube on the lateral wall of the nasopharynx. [1] It is one of the four main tonsil groups forming Waldeyer's tonsillar ring. [2] This ring also includes the palatine tonsils, the lingual tonsils, and the adenoid. [2]
By 2006, the total number had risen to over 700,000 but when adjusted for population changes, the tonsillectomy "rate" had dropped from 0.62 per thousand children to 0.53 per thousand. A larger decline for combined tonsillectomy and adenoidectomy was noted - from 2.20 per thousand to 1.46.
The tonsils are a set of lymphoid organs facing into the aerodigestive tract, which is known as Waldeyer's tonsillar ring and consists of the adenoid tonsil (or pharyngeal tonsil), two tubal tonsils, two palatine tonsils, and the lingual tonsils. These organs play an important role in the immune system.
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].