Tonsillectomy with Pillars Suture and Endoscopic Adenoidectomy for Pediatric Obstructive Sleep Apnea

以扁桃腺切除術併前後柱縫合及內視鏡腺樣體切除術治療小兒阻塞性睡眠呼吸中止症

李佳融(Chia-Jung Lee) ； Kasey K. Li ； 林嘉謨(Chia-Mo Lin) ； 江秉穎(Rayleigh Ping-Ying Chiang)

《台灣耳鼻喉頭頸外科雜誌》 42卷6期 (2007/12) Pp. 215-220

https://doi.org/10.6286/2007.42.6.215

摘要

扁桃腺切除術和腺樣體切除術被認爲是處理兒童阻塞性睡眠呼吸中止症的第一選擇。儘可能增加上呼吸道的空間對這些患者而言是非常重要的。然而，扁桃腺切除術和腺樣體切除術的方法很多，並且可能導致不同的結果。我們在此介紹一個概念。在扁桃腺切除術以後縫合前後柱，並且在內視鏡之下做腺樣體切除術，無需處理懸雍垂或軟腭。目的在儘可能獲取最大的上呼吸道空間。

關鍵字

阻塞性睡眠呼吸終止症 ； 兒童 ； 扁桃腺切除術 ； 腺樣體切除術

並列摘要

Tonsillectomy and adenoidectomy have been regarded as the first choice of management for pediatric obstructive sleep apnea syndrome. The endeavors to get more upper airway space are critical for these patients. However, the ways of doing tonsillectomy and adenoidectomy are quite different and could result in even further different outcome. We introduce a concept by suturing the anterior and posterior pillars after tonsillectomy without touching the uvula or soft palate and doing adenoidectomy under endoscope. The aim of this procedure is to gain as much airway space as possible.

並列關鍵字

obstructive sleep apnea syndrome ； pediatric ； tonsillectomy ； adenoidectomy