Surgical methods of tonsillectomy

1. Take a prone position or a sitting position. Children lie on their backs, with their heads tilted back and their pillows under their shoulders. One assistant holds and fixes the head, and the other assistant fixes the scapula and two hands and feet. The surgeon stands on the left side of the patient, holding the spatula in his left hand. Hold the squeezing knife in your right hand.

2. Adults and children generally don't need mouthpieces, and uncooperative children need mouthpieces. Press the right tongue surface with the tongue depressor to expose the lower pole of the right tonsil, insert the knife ring of the squeezing knife from the lower pole and move it up along the longitudinal axis of the tonsil, rotate the squeezing knife to make the direction of the knife ring parallel to the longitudinal axis, and move the handle to the opposite side ().

3. Place the knife ring between the palatopharyngeal arch and tonsil, and then lift it. At this time, most of the tonsils have been nested in the knife ring, and a small part is located below the glossopharyngeal arch and above the knife ring, forming a raised bag at the glossopharyngeal arch ().

4. Press the raised bag into the knife ring with the thumb or forefinger of the left hand until the palatal arch of the thumb or forefinger can touch the edge of the knife ring (). Be careful not to press the mucosa of glossopharyngeal arch into the knife ring to avoid tearing.

5. Tighten the blade. At this time, the whole tonsil should be under the knife ring. Twist the handle, and at the same time, the surgeon immediately changes the position, moving from the patient's left side to the back of the head. Move the tongue depressor to press the left lingual surface downward to expose the left inferior tonsil pole. At this time, the right hand forcibly pulled out the tonsils and cut off (). Quickly insert the knife ring into the lower pole of the left tonsil and remove the left tonsil as described above. Let the sick child sit up and vomit blood.

6. After the tonsils are removed from the wound, press the back of the tongue with a tongue depressor to check the tonsil residue, active bleeding and tearing of surrounding tissues. If there is residual tonsil tissue, it can be cut again with a knife ring or bitten off with biopsy forceps.