{"id":1073034,"date":"2025-12-16T05:25:06","date_gmt":"2025-12-16T02:25:06","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1073034"},"modified":"2025-12-16T05:25:06","modified_gmt":"2025-12-16T02:25:06","slug":"amigdalectomia-si-amigdalotomia-interventii-frecvente-de-chirurgie-orl","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1073034","title":{"rendered":"Amigdalectomia \u0219i amigdalotomia: interven\u021bii frecvente de chirurgie ORL"},"content":{"rendered":"<div class=\"entry-content\">\n<div id=\"attachment_316878\" class=\"wp-caption alignright\"><img decoding=\"async\" aria-describedby=\"caption-attachment-316878\" loading=\"lazy\" class=\"size-medium wp-image-316878\" src=\"https:\/\/analyse.optim.biz\/wp-content\/uploads\/2025\/12\/caruntu-carmen-300x197-1.png\" alt=\"Dr. Carmen Daniela C\u0103runtu (M\u00eenican), medic primar ORL, Arcadia\" width=\"300\" height=\"197\" title=\"caruntu-carmen-300x197-1\"><\/p>\n<p id=\"caption-attachment-316878\" class=\"wp-caption-text\"><a href=\"https:\/\/www.arcadiamedical.ro\/echipa-medicala\/caruntu-carmen-daniela\">Dr. Carmen Daniela C\u0103runtu (M\u00eenican)<\/a>, medic primar ORL, <a href=\"http:\/\/www.arcadiamedical.ro\">Arcadia<\/a><\/p>\n<\/div>\n<p><strong>Amigdalele palatine<\/strong> sunt situate pe peretele lateral al orofaringelui \u0219i reprezint\u0103 structuri limfoide cu rol \u00een ap\u0103rarea \u00eempotriva infec\u021biilor de la nivelul c\u0103ilor respiratorii superioare, dar sunt \u0219i produc\u0103toare de anticorpi pentru organism (imunoglobuline).<\/p>\n<p>Amigdalectomia reprezint\u0103 interven\u021bia chirurgical\u0103 ce vizeaz\u0103 scoaterea amigdalelor palatine.<\/p>\n<p>Mic\u0219orarea \u00een volum a amigdalelor palatine se nume\u0219te amigdalotomie.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Amigdalectomia<\/strong> reprezint\u0103 una dintre cele mai frecvente interven\u021bii chirurgicale ORL din lume \u0219i este indicat\u0103 \u00een cazuri bine definite. Astfel, amigdalectomia (tonsilectomia) se practic\u0103 \u00een cazul recidivelor repetate de angin\u0103 pultacee \u2013 conform ghidului Asocia\u021biei Americane ORL: 3 episoade\/an 3 ani consecutiv, 4 episoade\/an 2 ani consecutiv sau mai mult de 5 episoade\/an. Angina pultacee este infec\u021bia bacterian\u0103 \u00eenso\u021bit\u0103 de febr\u0103 mare \u0219i a c\u0103rei vindecare apare doar sub administrare corect\u0103 de antibioterapie. O alt\u0103 indica\u021bie clar\u0103 \u00een favoarea amigdalectomiei o reprezint\u0103 flegmonul periamigdalian care, \u00een majoritatea cazurilor, este \u201erezolvat\u201d prin incizia \u0219i drenajul secre\u021biilor purulente de la acest nivel. Tumorile maligne de la nivelul unei amigdale palatine reprezint\u0103 o indica\u021bie cert\u0103 de amigdalectomie \u0219i, \u00een acest caz, aceasta este \u00eenso\u021bit\u0103 \u0219i de examen anatomopatologic. \u0218i nu \u00een ultimul r\u00e2nd, \u00een situa\u021bia \u00een care exist\u0103 focarul de infec\u021bie amigdalian \u0219i sunt prezente complica\u021biile sistemice (cardiace, renale, reumatismale, neuronale) este necesar\u0103 aceast\u0103 interven\u021bie chirurgical\u0103.<\/p>\n<p>\u00a0<\/p>\n<p>Prin intermediul amigdalotomiei (tonsilotomiei) <strong>se p\u0103streaz\u0103 rolul amigdalelor de a asigura imunitate organismului,<\/strong> \u0219i \u00een acela\u0219i timp se ofer\u0103 un spa\u021biu orofaringian corespunz\u0103tor.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Amigdalotomia se efectueaz\u0103 \u00een cazul urm\u0103toarelor patologii:<\/strong><\/p>\n<ul>\n<li><strong>Hipertrofia amigdalelor palatine<\/strong> (preponderent la copii), cu at\u00e2t mai mult \u00een cazul gradurilor III-IV, este \u00een topul patologiilor ce se preteaz\u0103 pentru efectuarea amigdalotomiei. Hipertrofia amigdalelor palatine se manifest\u0103 prin: dificult\u0103\u021bi \u00een respira\u021bie \u0219i \u00eenghi\u021bire, voce modificat\u0103, probleme \u00een articularea unor cuvinte, neasimilarea \u00een greutate, senza\u021bia de foame permanent\u0103, respira\u021bie oral\u0103, somn neodihnitor, sc\u0103derea capacit\u0103\u021bii de \u00eenv\u0103\u021bare \u0219i memorare.<\/li>\n<li><strong>Amigdalita cazeoas\u0103,<\/strong> ce se traduce prin prezen\u021ba depunerilor de cazeum \u00een criptele amigadaliene \u0219i este \u00eenso\u021bit\u0103 mereu de o halen\u0103 fetid\u0103 (miros nepl\u0103cut at\u00e2t pentru pacient, c\u00e2t \u0219i pentru anturaj).<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>Printre <strong>avantajele amigdalotomiei,<\/strong> pe l\u00e2ng\u0103 prezervarea rolului \u00een reglarea imunit\u0103\u021bii a amigdalelor \u00een organism, se enumer\u0103 gradul sc\u0103zut de disconfort postoperator \u2013 durerea ap\u0103rut\u0103 este mult redus\u0103, recuperarea mai rapid\u0103, iar reluarea activit\u0103\u021bilor cotidiene are loc mai devreme.<\/p>\n<p>Ca metod\u0103 de anestezie este recomandat\u0103 <strong>anestezia general\u0103,<\/strong> at\u00e2t pentru amigdalectomie, c\u00e2t \u0219i pentru amigdalotomie; \u00een situa\u021bia \u00een care este necesar\u0103 doar criptoliza amigdalian\u0103, aceasta se poate efectua prin radiofrecven\u021b\u0103, sub anestezie local\u0103.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Cobla\u021bia <\/strong>reprezint\u0103 una dintre tehnicile cele mai utilizate pentru ambele variante. Cobla\u021bia utilizeaz\u0103 un curent electric de frecven\u021b\u0103 \u00eenalt\u0103 \u0219i la temperaturi joase (40-60\u00b0C) \u0219i folose\u0219te solu\u021bie salin\u0103 pentru a \u00eendep\u0103rta precis \u0219i delicat \u021besuturile, f\u0103r\u0103 s\u0103 produc\u0103 c\u0103ldur\u0103 sau arsur\u0103 \u00een zonele \u00eenvecinate. Astfel, prin aceasta metod\u0103 se \u201evaporizeaz\u0103\u201d \u021besutul asupra c\u0103ruia se aplic\u0103, \u00een acela\u0219i timp realiz\u00e2ndu-se \u0219i hemostaza. Spre deosebire de metoda clasic\u0103, c\u00e2nd se folose\u0219te instrumentarul \u201erece\u201d, prin aceast\u0103 tehnic\u0103 se ob\u021bin \u0219i o serie de <strong>avantaje postoperatorii:<\/strong> sc\u0103derea riscului de apari\u021bie a hemoragiei, reducerea considerabil\u0103 a durerii, astfel permi\u021b\u00e2nd pacientului s\u0103 \u00ee\u0219i reia activitatea mai rapid. Cobla\u021bia asociaz\u0103 temperaturi mai sc\u0103zute dec\u00e2t radiofrecven\u021ba, cu risc mai sc\u0103zut de a produce chiar \u0219i minime leziuni necrotice la nivelul patului de rezec\u021bie sau \u021besuturilor adiacente.<\/p>\n<p>\u00a0<\/p>\n<p><strong>Recuperarea postoperatorie<\/strong><\/p>\n<p>\u00cen cazul ambelor interven\u021bii chirurgicale se impun anumite restric\u021bii, cum ar fi:<\/p>\n<ul>\n<li>limitarea efortului fizic sus\u021binut;<\/li>\n<li>evitarea consumului de alimente \u0219i b\u0103uturi fierbin\u021bi;<\/li>\n<li>se recomand\u0103 alimenta\u021bia semisolid\u0103;<\/li>\n<li>este interzis\u0103 expunerea \u00een spa\u021bii aglomerate \u0219i frecventarea colectivit\u0103\u021bilor.<\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<p>Datorit\u0103 gradului de fibrozare mai redus, intensitatea durerii este mai sc\u0103zut\u0103 la copii, spre deosebire de pacien\u021bii adul\u021bi. La 7-10 zile postoperator este posibil s\u0103 apar\u0103 \u0219i s\u00e2ngerarea, deoarece \u00een acest interval de timp falsele membrane, ce se formeaz\u0103 la nivelul lojelor amigdaliene, \u00eencep s\u0103 se deta\u0219eze. Prin utilizarea tehnicilor de cauterizare, episoadele de s\u00e2ngerare apar la un num\u0103r redus de pacien\u021bi.<\/p>\n<p>Procesul de vindecarea apare la 7 zile postamigdalotomie, respectiv la 10-14 zile dup\u0103 interven\u021bia de excizie a amigdalelor.<\/p>\n<p>\u00a0<\/p>\n<p>Amigdalectomia \u0219i amigdalotomia sunt interven\u021bii chirurgicale frecvente \u00een patologia ORL. Efectuate printr-o tehnic\u0103 modern\u0103, cobla\u021bia, sunt u\u0219or de suportat de c\u0103tre pacient \u0219i permit o reluare rapid\u0103 a activit\u0103\u021bilor cotidiene.<\/p>\n<p>Pentru program\u0103ri, pacien\u021bii au la dispozi\u021bie num\u0103rul de telefon <strong>0232 920, Call Center Arcadia.<\/strong><\/p>\n<p><a href=\"http:\/\/www.arcadiamedical.ro\">www.arcadiamedical.ro<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Carmen Daniela C\u0103runtu (M\u00eenican), medic primar ORL, Arcadia Amigdalele palatine sunt situate pe peretele lateral al orofaringelui \u0219i reprezint\u0103 structuri limfoide cu rol \u00een ap\u0103rarea \u00eempotriva infec\u021biilor de la nivelul c\u0103ilor respiratorii superioare, dar sunt \u0219i produc\u0103toare de anticorpi pentru organism (imunoglobuline). Amigdalectomia reprezint\u0103 interven\u021bia chirurgical\u0103 ce vizeaz\u0103 scoaterea amigdalelor palatine. Mic\u0219orarea \u00een volum [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1073035,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[174],"class_list":["post-1073034","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-romania","tag-suceavanews-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1073034","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1073034"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1073034\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/media\/1073035"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1073034"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1073034"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1073034"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}