studies published in the last few years show
this trend, which is even more obvious in
children under 3 years of age, where OSAS
reaches 90–100% of indications. In older
children, infections are more frequent
indications for TA
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小儿腺样体扁桃体切除术 6
Tonsillectomy: A Simple Surgical Procedure ?
Austrian events：The death of 5 children in Austria below the age of 6 years due to posttonsillectomy haemorrhage in 2006 and 2007 showed how quickly medical procedures can be discussed and debated by the media and politicians
tonsils. For children younger than 6 years of
age with tonsil hypertrophy, tonsillotomy
r2a/2t2h/2e02r1
小儿腺样体扁桃体切除术 8
During the evaluation period from October 1, 2009, to June 30, 2010, all consecutive tonsil and adenoid surgeries in Austria (n = 9,405 patients) and their risk factors were evaluated.
The series published during the last 30 years
show a clear shift in the indications of
tonsillectomy. Sleep-disordered breathing is
now the main reason for TA in children. All
As a consequence, the Austrian Pediatric and ENT Societies had to revise and tighten the guidelines
f2o/2r2a/2d02e1notonsi小lle儿c腺t样o体m扁y桃体切除术 7
The main aim is to restrict tonsillectomies to cases where the complete tonsil has to be dissected. The criteria
for tonsillectomy are formulated vigorously: at
least 7 tonsil infections in 1 year or 5 tonsil
infections in each of 2 consecutive years prior to the removal of the
为什么强调小儿？
美国2011年版儿童扁桃体切除术临床实践 指南
该指南适用于1—18岁可能需行扁桃体切除 术的患儿；
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小儿腺样体扁桃体切除术 2
Removal of the tonsils and adenoids is thought to be the bread and butter of pediatric otolaryngology.
The current controversial issue is
focused on pediatric tonsillectomy, a
surgical procedure that is learned early
during specialist training and performed
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Indications of Pediatric Tonsillectomy
At the beginning of the 20th century, recurrent tonsillitis was the main reason for removal of the tonsils. TA represented 30– 50% of all pediatric surgeries in the 1930s
by almost all otolaryngologists
worldwide. 2/22/2021
小儿腺样体扁桃体切除术 3
Having a closer look at the history of tonsillectomy, it becomes quickly clear that barely any other ENT surgery has undergone so many changes regarding the frequency, indication and technique as tonsillectomy did.
The advent of antibiotics in the 1950s resulted in a dramatic decrease in the overall number of tonsillectomies. In the USA, the frequency dropped from 1,400,000 TAs per year in 1959 to 500,000 in 1979, In the UK, 200,000 t2o/2n2/s2i0l2l1ectomie小s 儿p腺er样体ye扁a桃r体in切除1术930 t5o 50,000 at