مرکز تحقیقات گوش، گلو،بینی،

جراحی سروگردن دانشگاه علوم

پزشکی مشهد

Palatine tonsils VeinsRegional plexuses veins & Jugular vein

Lymph Deep Neck lymph nodes

Nerve Glossopharyngeal nerve & Vagus

AdenoidsArtery Pharyngeal artery Ascendant

Pharyngeal a. &Facial artery

Lymph Retropharyngeal Nodes

Nerves Glossopharyngeal nerve

Absolutely Indication Of Adenotonsilectomy

Recurrent Infection of tonsils ( 7 attack In year,

5 attack every Year for 2years, or 3 attack in 3 years)

Tonsillitis & Seizure

Quinsy Abscess

Carrier of Diphtheria

Malignancy

Sleep Apnea

Malocclusion

Sever hypertrophy of A/T that compromise airway & deglutition

Surgical Indication of Adneoidectomy

Recurrent disease of middle ear

Large adenoids with obstruction of airway

Recurrent sinusitis (Ethmoiditis)

Malocclusion (open bite or cross bite)

Relative contraindication of A/T

Obvious or occult cleft palate

Acute infection in pharynx&tonsils

Under 3 years old

Hb less than 10 & Ht less than 30

Allergy

Epidemic Polio