当科のアデノイド切除及び口蓋扁桃摘出例の検討
1990 年 11 巻 2 号 p. 41-43
詳細
1990 年 11 巻 2 号 p. 41-43
158 cases of adenotomy and tonsillectomy in children during 1989.4-1990.5 were reported.30% of them were under 4 years of age, and 80% of them were under 7 years of age. Boys were 100cases and girls 58 cases.
Chief complaints were sleep apneas in children under 3 years of age, and in 2-7 years old, snores and nasal obstractions. Half of 5-6 years old children had hearing disturbans due to otitis media with efusion (OME), and children over 7 years old had mostly recurrent tonsillitis.
Most children under 3 years old of age were preoperatively diagnosed as sleep apnea syndrome (SAS) due to adeno-tonsillar hypertrophy,5 and 6 years old children had OME, and cases over 7years old were mainly diagnosed as recurrent tonsillitis.
In cases with general complication, especially in infant with mental retardation or cromosomal anomaly, respiratory disturbance of sleep apnea tended to be in a serious condition, cases of SAS due to adeno-tonsillar hypertrophy are necessary to undergo an operation of adeno-tonsillectomy.
