eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Pediatric Otolaryngology
Adenoidectomy: Multimedia
Updated: Oct 30, 2008
Multimedia
 | Media file 1: Adenoids immediately following removal. This specimen is approximately 2 cm wide and 1 cm high. |
 | Picture of the tonsils superiorly and adenoids inferiorly immediately following removal. Note the centimeter scale on the pen. |
 | Media file 3: Drawing of a sagittal section of the nasal cavity, nasopharynx, oral cavity, palate, and oropharynx and of the location of the tonsils and adenoids. |
 | Media file 4: A rigid rhinoscopy photograph of the posterior nasal cavity, nasopharynx, and adenoids. The photograph shows the posterior portion of the left inferior turbinate in the right corner, the posterior portion of the left middle turbinate in the superior mid area, and the septum on the left-hand side. The adenoids are in the center, completely blocking the choanae. The floor of the nose is shown inferior to the adenoid bed. |
 | Media file 5: A rigid rhinoscopy photograph of the left anterior nasal cavity. The middle turbinate is superior in the midline, and the inferior turbinate is to the right. The septum is to the left. This photograph is the first of 4 pictures (images 5-8) of the rigid rhinoscopy pathway down the nasal cavity of an infant aged 6 weeks. |
 | Media file 6: A rigid rhinoscopy photograph taken in the mid portion of the left nasal cavity showing the septum on the left, the inferior turbinate on the right, and the middle turbinate superiorly. The choanae is seen in the dark area in the center. This photograph is the second of 4 pictures (images 5-8) of the rigid rhinoscopy pathway down the nasal cavity of an infant aged 6 weeks. |
 | Media file 7: A rigid rhinoscopy photograph taken two thirds of the way back along the floor of the nose of the left nasal cavity. This photograph shows the septum on the left, the choanae straight ahead, and the posterior portion inferior turbinate to the right. This photograph is the third of 4 pictures (images 5-8) of the rigid rhinoscopy pathway down the nasal cavity of an infant aged 6 weeks. |
 | Media file 8: A rigid rhinoscopy photograph taken all the way back into the choanae of the left nasal cavity. The photograph shows the septum on the left, the small adenoids on the posterior superior wall of the nasopharynx in the center, and the eustachian tube orifice on the right. This photograph is the fourth of 4 pictures (images 5-8) of the rigid rhinoscopy pathway down the nasal cavity of an infant aged 6 weeks. |
 | Media file 9: Normal lateral neck x-ray film evaluating the adenoids and nasopharynx. The corresponding drawing to this x-ray film is shown in Image 3. |
 | Media file 10: Different measurements for the choanae show (1) measurement of the adenoids, (2) horizontal measurement of the nasopharyngeal stripe followed by horizontal measurement of the adenoid pad and diagonal thickness of the adenoid pad, (3) horizontal measurement from the choanae to the adenoids and the adenoid pad, and (4) the thickness of the palate in comparison to the thickness of the nasal pharyngeal air stripe. |
 | Media file 11: Gross histology of the adenoids. |
 | Media file 12: Close-up histology of the adenoids. |
 | Media file 13: Close-up of adenoid histology showing immunological activities near the tonsillar crypt. |
 | Media file 14: A mirror is placed in the oral cavity and oropharynx, with the image on the mirror reflecting from the nasopharynx and showing the adenoids in the center of the mirror, in front of the choanae, and in the center of the torus tubarius (opening of the eustachian tubes) laterally. The red rubber catheter suspending the palate is shown as it passes through the choana superiorly. This is a view of adenoids in the surgical position at the time of surgery. |
 | Media file 15: A rigid rhinoscopy photograph in the right nasal cavity showing the adenoids at the center of the picture, appearing to almost completely block the choanae. The child is in the upright position for the mirror image of the adenoids in Image 14. Note that in this position, the adenoids appear to almost completely block the choanae; in the mirror image in Image 14, there appears to be a 30% space between the adenoids into the choanae. |
 | Media file 16: Different sizes of adenoid curettes, with the curette blade on the inside superior surface. |
 | Media file 17: Curvature at the end of a curette. |
 | Media file 18: Long view of an adenoid curette, showing the entire length of the instrument. |
 | Media file 19: End view of adenoid punches showing different-sized ends of the instruments and different positions of the sliding blade doors from left to right. The blade door of the instrument on the left is closed, the blade door of the middle instrument is halfway open, and the blade door of the instrument on the right is completely open. |
 | Media file 20: Long view of adenoid punches, showing entire lengths of the instruments. |
 | Media file 21: Magill adenoid forceps used for the removal adenoids in the choanae that are jutting into the posterior nasal cavity, which are difficult to reach. |
 | Media file 22: Long view of a suction cautery instrument. |
 | Media file 23: Tip of a suction cautery instrument viewed from the end, with blue non–heat-transferring casing, silver metal cautery, and center hollow tube for suctioning. |
 | Media file 24: Typical intraoperative set-up of surgical instruments for adenoidectomy. |
 | Media file 25: A rigid rhinoscopy photograph of the posterior nasal cavity, nasopharynx, septum, and adenoids, similar to Image 14, but shown further back in the nasal cavity and closer to the adenoids. The posterior portion of the left inferior turbinate is shown in the right corner, and the posterior portion of the left middle turbinate is shown in the superior mid area. The septum is shown on the left side of the photograph. The adenoids are shown in the center, completely blocking the choanae. The floor of the nose is barely seen inferior to the adenoid bed. |
 | Media file 26: An endoscopic view of the nasopharynx showing a typical scar following adenoidectomy with a curette. The torus tubarius is shown at the 3-o'clock position, and the posterior septum is the yellow-white area is shown from the 9- to 12-o'clock positions. The nasal side of the palate is shown at the 4- to 6-o'clock position. |
More on Adenoidectomy |
| Overview: Adenoidectomy |
| Workup: Adenoidectomy |
| Treatment: Adenoidectomy |
| Follow-up: Adenoidectomy |
 Multimedia: Adenoidectomy |
| References |
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References
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Further Reading
Keywords
adenoidectomy, tonsillectomy adenoidectomy, adenoids, adenoid, adenoid surgery, adenoid removal, infected adenoids, pediatric adenoidectomy, pediatric adenoid removal, pediatric adenoid surgery, tonsillectomy and adenoidectomy, T&A, adenoiditis, tonsillectomy, middle ear effusion, otitis media, OM, middle ear infection, rhinosinusitis, ear infection, ear disease, chronic sinusitis, COM, AOM, acute otitis media, chronic otitis media, otitis media with effusion, OME, adenoid curette, adenoid punch
