{"id":1217,"date":"2025-10-30T11:39:05","date_gmt":"2025-10-30T08:39:05","guid":{"rendered":"https:\/\/wiki.voka.io\/glossary\/%d0%b0%d0%b4%d0%b5%d0%bd%d0%be%d1%82%d0%be%d0%bc%d0%b8%d1%8f\/"},"modified":"2025-10-30T11:39:09","modified_gmt":"2025-10-30T08:39:09","slug":"adenotomie","status":"publish","type":"glossary_item","link":"https:\/\/wiki.voka.io\/fr\/glossaire\/adenotomie\/","title":{"rendered":"Ad\u00e9notomie"},"content":{"rendered":"\n

L’ad\u00e9notomie est une intervention chirurgicale visant \u00e0 retirer les amygdales pharyng\u00e9es hypertrophi\u00e9es (v\u00e9g\u00e9tations ad\u00e9no\u00efdes). L’intervention a pour but de r\u00e9tablir la respiration nasale, la fonction de drainage des trompes d’Eustache et \u00e0 \u00e9liminer la source de l’infection chronique dans le nasopharynx.<\/p>\n\n

Cette intervention chirurgicale est l’une des proc\u00e9dures de routine les plus courantes en oto-rhino-laryngologie p\u00e9diatrique. Les approches modernes de l’ad\u00e9notomie reposent sur les principes de l’ablation compl\u00e8te du tissu lympho\u00efde sous contr\u00f4le visuel, ce qui minimise le risque de r\u00e9cidive et de complications.<\/p>\n\n

Instructions et modes d’administration<\/strong><\/h2>\n\n

L’intervention chirurgicale est pratiqu\u00e9e pour des indications sp\u00e9cifiques. Les principales sont le syndrome d’apn\u00e9e obstructive du sommeil (SAOS), les otites moyennes r\u00e9currentes accompagn\u00e9es d’une perte auditive et les probl\u00e8mes respiratoires nasaux persistants qui ne r\u00e9pondent pas \u00e0 un traitement conservateur.<\/p>\n\n

L’\u00e9talon or est aujourd’hui l’ad\u00e9notomie endoscopique r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale. Le contr\u00f4le visuel permet au chirurgien d’enlever compl\u00e8tement le tissu ad\u00e9no\u00efde \u00e0 l’aide d’un microd\u00e9brideur (rasoir) ou d’une ablation par plasma froid (coblation), ce qui augmente consid\u00e9rablement la s\u00e9curit\u00e9 et l’efficacit\u00e9 de la proc\u00e9dure par rapport \u00e0 la m\u00e9thode obsol\u00e8te de curetage \u00e0 l’aveugle.<\/p>\n\n

Importance clinique<\/strong><\/h2>\n\n

L’importance clinique de l’ad\u00e9notomie r\u00e9side dans l’am\u00e9lioration spectaculaire de la qualit\u00e9 de vie de l’enfant\u00a0: r\u00e9tablissement de la respiration nasale physiologique, normalisation du sommeil et r\u00e9duction de la fr\u00e9quence des maladies respiratoires et auriculaires. Une intervention chirurgicale r\u00e9ussie pr\u00e9vient le d\u00e9veloppement de complications de l’hypoxie chronique et la formation d’un visage de type \u00ab\u00a0ad\u00e9no\u00efde\u00a0\u00bb.<\/p>\n\n

Malgr\u00e9 la grande s\u00e9curit\u00e9 des techniques modernes, des complications sont possibles. Les principales sont les saignements postop\u00e9ratoires (pr\u00e9coces ou tardifs) et, dans de rares cas, le d\u00e9veloppement d’une insuffisance v\u00e9lo-pharyng\u00e9e (voix nasillarde, passage de nourriture dans le nez), en particulier chez les patients pr\u00e9sentant des anomalies cach\u00e9es du palais.<\/p>\n","protected":false},"excerpt":{"rendered":"

L’ad\u00e9notomie est une intervention chirurgicale visant \u00e0 retirer les amygdales pharyng\u00e9es hypertrophi\u00e9es (v\u00e9g\u00e9tations ad\u00e9no\u00efdes). L’intervention a pour but de r\u00e9tablir la respiration nasale, la fonction de drainage des trompes d’Eustache et \u00e0 \u00e9liminer la source de l’infection chronique dans le nasopharynx.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-1217","glossary_item","type-glossary_item","status-publish","hentry"],"acf":[],"yoast_head":"\nAd\u00e9notomie : d\u00e9finition m\u00e9dicale et description | Voka Wiki<\/title>\n<meta name=\"description\" content=\"L'ad\u00e9notomie est une intervention chirurgicale visant \u00e0 retirer les amygdales pharyng\u00e9es hypertrophi\u00e9es (v\u00e9g\u00e9tations ad\u00e9no\u00efdes). 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