Abstract
Objective: To highlight the management of pediatric patients involving tonsillectomy and adenoidectomy in otorhinolaryngology. Bibliographic review: Surgical procedures that involve the removal of the palatine tonsils and adenoids are frequent in the pediatric age group. Despite being different surgeries, they are often performed together, called adenotonsillectomy. Thus, its two main indications are: recurrent tonsillitis and sleep breathing disorders, whose causes generate poor school performance, irritability, and child growth retardation. The surgical techniques employed differ between Intracapsular Tonsillectomy (IT) or extracapsular tonsillectomy, with IT being preferable due to the decrease in post-procedure bleeding based on scientific updates. Among these techniques, the execution mode involves cold dissection, hot dissection, electrosurgery, quantum molecular resonance and coblation. Final considerations: Tonsillectomy in association with adenoidectomy - adenotonsillectomy, is characterized by a surgical procedure with the purpose of increasing the child's quality of life by removing these structures. Therefore, it is necessary to investigate tonsil or adenoid hypertrophies and recurrent throat infections because they are great potentiators of health problems in childhood, and thus correctly indicate the surgical techniques for this population.
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