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ADENOTONSILLECTOMY

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ADENOTONSILLECTOMY

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interactive learning quiz for perioperative staff

Created by

Christopher Albert Ibuyan
Christopher Albert Ibuyan
New Zealand

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ADENOTONSILLECTOMY
 

ADENOTONSILLECTOMYOnline version

interactive learning quiz for perioperative staff

by Christopher Albert Ibuyan
1

What is the anatomical location of the adenoids?

2

Which of the following is an accepted indication for adenotonsillectomy in children?

3

Which instrument is commonly used to expose the oropharynx during tonsillectomy?

4

What is currently one of the most common indications for pediatric adenotonsillectomy?

5

Identify this instrument.

6

Which position is commonly used for adenotonsillectomy?

Choose one or more answers

7

What is the purpose of Draffin Bipods?

8

Which artery commonly contributes to tonsillar blood supply and may cause significant bleeding?

9

Identify this instrument.

10

What is the most serious postoperative complication following tonsillectomy?

11

Which modern technology is increasingly used for intracapsular tonsillectomy?

12

Following adenotonsillectomy, which assessment is the highest nursing priority in PACU?

13

A child who has undergone tonsillectomy is repeatedly swallowing and appears restless. What should the nurse suspect?

14

Which statement regarding intracapsular tonsillectomy is TRUE? Rationale Intracapsular tonsillectomy (also known as tonsillotomy) removes the majority of tonsillar tissue while preserving a thin layer of tissue over the pharyngeal muscles. 💡 Traditional (extracapsular) tonsillectomy removes the entire tonsil and capsule, whereas intracapsular tonsillectomy preserves a thin protective tissue layer to improve recovery and reduce complications.

15

Which statement best describes an extracapsular tonsillectomy?

Feedback

Adenoids are located on the posterior wall and roof of the nasopharynx behind the nasal cavity.

Accepted indications include recurrent infection, airway obstruction/OSA, and selected cases of peritonsillar abscess.

The Boyle-Davis Mouth Gag provides excellent exposure of the tonsillar fossa.

OSA due to adenotonsillar hypertrophy is one of the leading indications for surgery.

The adenoid curette is designed specifically for adenoid removal.

This position optimizes exposure of the oral cavity and airway.

Draffin Bipods stabilize the mouth gag throughout the procedure.

The tonsillar branches of the facial and ascending palatine arteries supply the tonsils.

Used for identifying and dissecting the tonsillar capsule.

Post-tonsillectomy bleeding can rapidly become life-threatening. For both adults and children, frequent swallowing is a sign of post tonsillectomy bleeding.

Coblation uses low-temperature plasma technology, reducing thermal injury and postoperative pain.

Airway obstruction and haemorrhage are immediate postoperative risks.

Frequent swallowing may indicate blood trickling down the throat.

Intracapsular tonsillectomy is associated with less pain, faster recovery, and reduced bleeding risk.

Extracapsular tonsillectomy is the traditional tonsillectomy technique in which the surgeon completely removes the tonsil along with its capsule, exposing the underlying pharyngeal muscle. This approach eliminates virtually all tonsillar tissue and may be preferred for recurrent tonsillitis, chronic infection, or suspected malignancy. However, compared with intracapsular tonsillectomy, extracapsular tonsillectomy is generally associated with: Increased postoperative pain Higher risk of postoperative haemorrhage Longer recovery period Delayed return to normal diet and activities Learning Point 💡 "Extra" capsular = the entire capsule is removed. Extracapsular = Complete tonsil removal Intracapsular = Partial tonsil removal with a protective tissue layer left behind This makes a good companion question to your intracapsular tonsillectomy question and helps nurses understand the differences between the two modern surgical approaches.

 
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