St. Clair Thompson’s ademoid curette with cage
With Curette: Adenoidectomy
With cage: To hold the curetted tissues to prevent aspiration.
How it is hold:
With right hand in dagger holding position.
Method of Sterilization:
Soaked under Lysol or concentrated Savlon for 24 hours or overnight.
Hypertrophy of the nasopharyngeal tonsil sufficient to produce symptoms is called adenoid. It commonly occurs in 3-7 years of age.
Removal of adenoid.
Indication of Adenoidectomy:
- Enlarged Adenoid with mouth breathing and feature of adenoid facies.
- Sleep-apnoea syndrome.
Contraindication of Adenoidectomy:
- Bleeding disorders.
- Upper respiratory tract infection.
- Epidemic of poliomylitis
- Cleft palate or short palate
Complications of Adenoidectomy:
- Injury to Lips,gum, teeth, uvula & posterior pharyngeal wall.
- Injury to larynx.
- Injury to hypopharynx
This is the expression or appearance of the face produced due to enlarged adenoid of a child.
Adenoid facies/ Feature of Adenoid face:
- Idiotic appearance.
- Open mouth.
- Pinched nose.
- Shallow naso-labial furrow.
- Crowded teeth.
- High ached palate. (‘V’ shaped)
- Hyperplasia of gum
- Maxillary hypoplasia
- Flat chest
- Rounded shoulder
- Dribbling of saliva from the angle of mouth.
- Abdomen is protuberant.