Related Concept Videos
01:26Tonsillitis II: Management
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
01:23Chronic Pharyngitis
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
01:30Tonsillitis I: Introduction
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
01:29Suctioning the Nasopharyngeal Airway
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
01:25Suctioning the Oropharyngeal Airway
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
01:21Tooth Anatomy
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
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05:07
CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
[Accidental tooth avulsion during tonsillectomy].
1Gentofte Hospital, Øre-nase-hals-kirurgisk Afdeling, Denmark. nbb@dadlnet.dk
Ugeskrift for Laeger
|June 8, 2010
Summary
During tonsillectomy, a Boyle-Davis gag dislodged two permanent teeth in a young boy due to their volatile anchorage. Surgeons should consider alternative tools for patients with newly erupted or unsupported teeth.
Area of Science:
- Otolaryngology
- Pediatric Dentistry
- Surgical Safety
Background:
- Tonsillectomy is a common pediatric surgical procedure.
- The Boyle-Davis gag is a standard instrument used during tonsillectomy to maintain airway and surgical field exposure.
- Dental complications, though rare, can occur during head and neck surgeries.
Observation:
- During a routine tonsillectomy in a six-year-old boy, two permanent frontal teeth were unexpectedly avulsed.
- Standard surgical procedures were employed at the time of the incident.
- The avulsed teeth were noted to be newly erupted, with adjacent teeth missing, suggesting compromised root anchorage.
Findings:
- The primary cause of tooth avulsion was attributed to the volatile anchorage of newly erupted permanent teeth.
- The use of the Boyle-Davis gag in this specific dental context likely contributed to the iatrogenic injury.
- This case highlights a potential risk associated with the Boyle-Davis gag in pediatric patients with specific dental anomalies.
Implications:
- Surgeons performing tonsillectomies should carefully assess pediatric patients' dental status, particularly the eruption stage and support of frontal teeth.
- Consideration should be given to alternative gagging devices or modified techniques when volatile dental anchorage is suspected.
- Implementing pre-operative dental assessments could mitigate the risk of such iatrogenic dental injuries during pediatric tonsillectomy.