The age is 3 years old and the hospitalization number is 358476.

date

Tuesday, 5 July 2005

Preoperative diagnosis of adenoidal hypertrophy

Postoperative diagnosis of adenoidal hypertrophy

Surgical methods: adenoidectomy under nasal endoscope.

Surgeon's assistant, Dr. X, Dr. Y.

Drunk endotracheal intubation general anesthesia anesthesiologist Dr. Gao

Preoperative situation

Sleep snoring and breathing with the mouth open 1 year, and the lateral nasopharyngeal film shows adenoid hypertrophy.

Surgical procedure

1. The patient was supine, and the anesthesiologist performed general anesthesia through tracheal intubation, routine disinfection, wrapping and towel laying.

2. Place Davis mouth gag to fully expose oropharynx.

3. Use a catheter to pull the soft palate up from both nasal cavities to the oropharyngeal cavity. Under the guidance of a 70-degree endoscope, the adenoid curette was sent from the oral cavity to the nasopharynx along the middle of the posterior pharyngeal wall, and the front end touched the posterior edge of the nasal septum. The curette was gently pressed to the top of the nasopharynx, and the curette was pulled backward and downward along the posterior pharyngeal wall to remove the adenoids in stages. Put a cotton ball into the nasopharynx for compression and hemostasis. After the operation.

4. The operation was smooth, the anesthesia was satisfactory, the bleeding was not much, and there was no side injury.

Postoperative situation

The patient's vital signs were stable and returned to the ward safely.

The disease did not occur.