{"id":673,"date":"2019-08-29T12:57:30","date_gmt":"2019-08-29T11:57:30","guid":{"rendered":"http:\/\/orlsafi.com\/?page_id=673"},"modified":"2022-09-25T14:53:57","modified_gmt":"2022-09-25T13:53:57","slug":"chirurgie-du-pharynx-et-larynx-enfant","status":"publish","type":"page","link":"http:\/\/orlsafi.com\/chirurgie-du-pharynx-et-larynx-enfant","title":{"rendered":"Chirurgie du pharynx et larynx-Enfant"},"content":{"rendered":"\t\t
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\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Chirurgie de la cavit\u00e9 buccale et de l\u2019oropharynx<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\u00a0 \u00a0 <\/span><\/strong><\/span>Chirurgie des v\u00e9g\u00e9tations (ad\u00e9no\u00efdectomie)\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span>
<\/span><\/span><\/strong><\/span><\/p>\n

Les v\u00e9g\u00e9tations ad\u00e9no\u00efdes sont d\u00e9velopp\u00e9es en arri\u00e8re des fosses nasales, et participent au d\u00e9veloppement du syst\u00e8me immunitaire de l\u2019enfant. Les rhinopharyngites r\u00e9p\u00e9t\u00e9es font partie de ce d\u00e9veloppement de l\u2019immunit\u00e9. Si les v\u00e9g\u00e9tations deviennent trop volumineuses, elles peuvent provoquer une obstruction nasale, des ronflements ou autres perturbations du sommeil, voire une perturbation de la croissance maxillo faciale. Elles peuvent \u00e9galement <\/span>entra\u00eener des otite s\u00e9ro-muqueuses et<\/span> devenir un foyer infectieux chronique et favoriser la survenue d\u2019otites \u00e0 r\u00e9p\u00e9tition (via la trompe d\u2019Eustache).<\/span><\/strong><\/span><\/p>\n

Indications : l\u2019ex\u00e9r\u00e8se des v\u00e9g\u00e9tations est propos\u00e9e en cas d\u2019obstruction, ou d\u2019infection \u00e0 r\u00e9p\u00e9tition des voies respiratoires hautes <\/span>d\u2019otite s\u00e9ro-muqueuses et r\u00e9tractions tympaniques <\/span>. Elle peut \u00e9galement \u00eatre associ\u00e9e \u00e0 la pose d\u2019a\u00e9rateurs trans-tympaniques.<\/span><\/strong><\/span><\/p>\n

Intervention : sous anesth\u00e9sie g\u00e9n\u00e9rale, l\u2019ex\u00e9r\u00e8se consiste en un curetage, en passant par <\/strong><\/span><\/p>\n

voie endobuccale.<\/strong><\/span><\/p>\n

Suites : Apr\u00e8s une hospitalisation ambulatoire, le chirurgien pourra prescrire <\/span>un traitement <\/span> adapt\u00e9, et \u00e9ventuellement des d\u00e9sinfections rhinopharyng\u00e9es .<\/span><\/strong><\/span><\/p>\n

Les risques de l\u2019intervention sont repris dans la fiche d\u2019information (Lien)<\/strong><\/span><\/p>\n

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u062c\u0631\u0627\u062d\u0629 \u0627\u0644\u0644\u062d\u0645\u064a\u0629 (\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0645\u0627 \u064a\u0633\u0645\u0648\u0646\u0647 \u0628\u0627\u0644\u062c\u0644\u0648\u062f)\u00a0<\/strong><\/span><\/p>\n

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\u0627\u0644\u062d\u0644 \u0627\u0644\u0645\u0645\u0643\u0646: \u064a\u064f\u0642\u062a\u0631\u062d \u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0627\u0644\u0644\u062d\u0645\u064a\u0629 \u0641\u064a \u062d\u0627\u0644\u0629 \u0627\u0644\u0627\u0646\u0633\u062f\u0627\u062f \u0623\u0648 \u0627\u0644\u0639\u062f\u0648\u0649 \u0627\u0644\u0645\u062a\u0643\u0631\u0631\u0629 \u0641\u064a \u0627\u0644\u062c\u0647\u0627\u0632 \u0627\u0644\u062a\u0646\u0641\u0633\u064a \u0627\u0644\u0639\u0644\u0648\u064a \u0648\u0627\u0644\u062a\u0647\u0627\u0628 \u0627\u0644\u0623\u0630\u0646 \u0627\u0644\u0645\u062e\u0627\u0637\u064a \u0627\u0644\u0645\u0635\u0644\u064a \u0648\u0627\u0646\u0643\u0645\u0627\u0634 \u0627\u0644\u0637\u0628\u0644\u0629. \u064a\u0645\u0643\u0646 \u0623\u0646 \u064a\u0631\u062a\u0628\u0637 \u0623\u064a\u0636\u064b\u0627 \u0628\u062a\u0631\u0643\u064a\u0628 \u0645\u0647\u0648\u064a\u0627\u062a \u0639\u0628\u0631 \u0627\u0644\u0637\u0628\u0644\u0629 \u0645\u0627 \u064a\u0633\u0645\u0649 \u0627\u0644\u0635\u062f\u0641\u0629.<\/p>\n

\u0627\u0644\u0645\u062f\u0627\u062e\u0644\u0629: \u062a\u062d\u062a \u0627\u0644\u062a\u062e\u062f\u064a\u0631 \u0627\u0644\u0639\u0627\u0645 \u060c \u064a\u062a\u0643\u0648\u0646 \u0627\u0644\u0627\u0633\u062a\u0626\u0635\u0627\u0644 \u0645\u0646 \u0643\u0634\u0637 \u064a\u0645\u0631\u0639\u0646 \u0637\u0631\u064a\u0642 \u062f\u0627\u062e\u0644 \u0627\u0644\u0641\u0645.<\/p>\n

\u0628\u0639\u062f \u0625\u062c\u0631\u0627\u0621 \u0627\u0644\u0639\u0645\u0644\u064a\u0629 \u064a\u0635\u0641 \u0627\u0644\u062c\u0631\u0627\u062d \u0627\u0644\u0639\u0644\u0627\u062c \u0627\u0644\u0645\u0646\u0627\u0633\u0628 \u060c \u0648 \u062a\u0637\u0647\u064a\u0631 \u0627\u0644\u0628\u0644\u0639\u0648\u0645 \u0627\u0644\u0623\u0646\u0641\u064a\u060c \u0648\u064a\u063a\u0627\u062f\u0631 \u0627\u0644\u0645\u0635\u062d\u0629 \u0641\u064a \u0646\u0641\u0633 \u0627\u0644\u064a\u0648\u0645.\u00a0<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Chirurgie des Amygdales<\/em><\/strong><\/span>
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Comme les v\u00e9g\u00e9tations les amygdales palatines font partie du syst\u00e8me immunitaire . Elles peuvent \u00e9galement devenir trop volumineuses, ou devenir un foyer d\u2019infections r\u00e9p\u00e9t\u00e9es.<\/span><\/strong><\/em>
Indications : angines \u00e0 r\u00e9p\u00e9tition ou obstruction des voies respiratoires (dont apn\u00e9es du sommeil)<\/span><\/strong><\/em>
Intervention : sous anesth\u00e9sie g\u00e9n\u00e9rale, la chirurgie consiste en une ex\u00e9r\u00e8se compl\u00e8te (amygdalectomie) ou partielle (amygdalotomie), par voie endobuccale. Le chirurgien d\u00e9cide en accord avec les parents de la technique la plus adapt\u00e9e au cas de l\u2019enfant<\/span><\/strong><\/em>
Suites :<\/span><\/strong><\/em>
Reprise le jour m\u00eame d\u2019une alimentation adapt\u00e9e, lisse et froide,<\/span><\/strong><\/em>
Traitement antalgique adapt\u00e9 \u00e0 l\u2019\u00e2ge et \u00e0 la douleur de l\u2019enfant<\/span><\/strong><\/em>
Il existe un risque de saignement, devant faire consulter en urgence, jusqu\u2019\u00e0 2 semaines apr\u00e8s la chirurgie<\/span><\/strong><\/em>
Les risques de l\u2019intervention sont repris dans la fiche d\u2019information (Lien)<\/span><\/strong><\/em><\/p>\n

\u00a0<\/em><\/strong><\/p>\n

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<\/p>\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Chirurgie du larynx<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Chirurgie de la cavit\u00e9 buccale et de l\u2019oropharynx \u00a0 \u00a0 Chirurgie des v\u00e9g\u00e9tations (ad\u00e9no\u00efdectomie)\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Les v\u00e9g\u00e9tations ad\u00e9no\u00efdes sont d\u00e9velopp\u00e9es en arri\u00e8re des fosses nasales, et participent au d\u00e9veloppement du syst\u00e8me […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"yoast_head":"\nChirurgie du pharynx et larynx-Enfant - Dr DOUHI Larbi ORL SAFI<\/title>\n<meta name=\"description\" content=\"Cabinet ORL du Dr DOUHI Larbi \u00e0 Safi; Accueillant et professionnel \u00e9quip\u00e9 de mat\u00e9riel a la pointe de la technologie (exploration de la surdit\u00e9 du tout \u00e2ge, exploration du vertige et de l'\u00e9quilibre, chirurgie ORL et maxillo-faciale...) 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