In this video, Mount Sinai pediatric and general otolaryngologists (Drs. Londino, Rothschild, Alicea, Chou, Mra, Namdar, Shin, Tweel, Tsai, Zeiger) perform tonsillectomy on a patient with obstructive sleep apnea. The tonsils are lymphoid tissue at the back of the throat, and may enlarge or become chronically infected. When they enlarge, they may cause voice changes, snoring, and obstructive sleep apnea. When infected, they may form an abscess (pus pocket), however they often just cause a sore throat (pharyngitis). When someone has strep throat, the tonsils can get covered with white patches, or exudates. Tonsil infections often go hand in hand with adenoid infections; adenoids are tonsil-like lymphoid tissue at the back of the nose between the eustachian tubes.
Tonsillectomy and adenoidectomy (adenotonsillectomy when done together) is often first line treatment for children with obstructive sleep apnea. Surgery is typically done on an outpatient basis and patients go home the same day. Patients with severe sleep apnea may stay overnight.
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The Mount Sinai Otolaryngology Surgical Video Series was edited by Dr. Zachary Schwam.
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