PDF(Pubmed)
Abstract：
Hyperplasia of the pharyngeal tonsils is to be considered pathologic when nasopharyngeal symptoms of mechanical obstruction and/or chronic inflammation occur. Chronic Eustachian tube dysfunction can result in various middle ear diseases such as conductive hearing loss, cholesteatoma, and recurrent acute otitis media. During examination, attention should be paid to the presence of adenoid facies (long face syndrome), with a permanently open mouth and visible tip of the tongue. In the case of severe symptoms and/or failure of conservative treatment, adenoidectomy is usually performed on an outpatient basis. Conventional curettage remains the established standard treatment in Germany. Histologic evaluation is indicated for clinical evidence of mucopolysaccharidoses. Due to the risk of hemorrhage, the preoperative bleeding questionnaire, which is obligatory before every pediatric surgery, is referred to. Recurrence of adenoids is possible despite correct adenoidectomy. Before discharge home, otorhinolaryngologic inspection of the nasopharynx for secondary bleeding should be performed and anesthesiologic clearance obtained.
摘要：
当发生机械性阻塞和/或慢性炎症的鼻咽症状时，咽扁桃体的增生被认为是病理性的。慢性咽鼓管功能障碍可导致各种中耳疾病，如传导性听力损失，胆脂瘤,和复发性急性中耳炎.考试期间,应注意腺样体相（长脸综合征）的存在，具有永久张开的嘴和可见的舌尖。在严重症状和/或保守治疗失败的情况下，腺样体切除术通常在门诊进行。传统刮宫法仍然是德国既定的标准治疗方法。对于粘多糖症的临床证据，需要进行组织学评估。由于有出血的危险,术前出血问卷，这是每次儿科手术前必须做的，是指。尽管进行了正确的腺样体切除术，腺样体仍可能复发。出院回家前,应进行鼻咽部继发出血的耳鼻咽部检查，并获得麻醉清除。
