remained pending in the month of November, when we talk about what tonsils were , explain why you should Remove.
In short and by no means exhaustive, the tonsils should be removed in tonsil cancer who decides to treat surgically (obvious), when the tonsils obstructs the airway or believed to originate from a syndrome of obstructive sleep apnea (more clear yet) after two or more episodes of peritonsillar abscess (which is a serious infection of the throat) and when there is recurrent tonsillitis.
latter criterion, the recurrent tonsillitis or "frequent angina" as commonly called, are those that have generated more controversy in recent years because, how many tonsillitis per year justify the removal of the tonsils?
Some guys called Paradise and Bluestone, otolaryngologist at Children's Hospital of Pittsburgh, responding by setting guidelines that had a huge global impact. According to them, a tonsillectomy is indicated when:
1. In the past year there have been 7 or tonsillitis. or
2. In the last two years have produced 5 or more tonsillitis per year. or
3. In the last three years have 3 or more tonsillitis per year.
Eye! For them a simple "sore throat" is not tonsillitis. For that they believe tonsillitis benefits of surgery, you should create a fever over 38 ° C, neck nodes (glands in the neck), tonsillar exudate (the popularly called "plaques") or have a positive culture for fastidious bacteria called hemolytic streptococcus group A.
words, to have a sore throat to remove the tonsils, simple colds should not be in discomfort when swallowing.
Unfortunately, as a resident of Otolaryngology, I am unable to objectify the criteria of "seriousness of the tonsils" which suggest surgery when I attend to a patient, because they rarely see them in the acute phase.
Luckily I had the support of GPs and primary care pediatricians in this task. They are highly trained in the diagnosis and treatment of tonsillitis. Often, I have discussed this topic with Rafi , a great companion (and friend) who makes his residency in Family Medicine and Community: Primary care physicians have been more amygdala with active infection than me, that when the study, infection and has generally been resolved.
is important to raise awareness of the benefits of tonsillectomy operation occur when it is listed under the criteria of Paradise and Bluestone, if criteria are not met, pharyngeal infections continue to occur practically at the same frequency but instead form of strep tonsillitis.
meet the following criteria has meant that tonsillectomy is practiced much less frequently than once and only in patients who assume that more will benefit from it. This is a nice example of teamwork and coordination of primary and specialized care that has allowed the rational use of resources.
Photo: Rafi, in the garden of the Pena Palace under a stone arch on a steep slope. If we were to assume that the roof of the arch is the palate and throat downhill, Rafi is located in the bed of the right amygdala and the left picture.
0 comments:
Post a Comment