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Aus einer chronischen Tubenventilationsst\u00f6rung k\u00f6nnen unterschiedliche Mittelohrerkrankungen wie Schallleitungsschwerh\u00f6rigkeit, Cholesteatom und rezidivierende akute Otitis media entstehen. W\u00e4hrend der Inspektion ist das Augenmerk auf das Vorliegen einer Facies adenoidea mit dauerhaft offenem Mund und sichtbarer Zungenspitze zu legen. Bei starken Beschwerden und\/oder frustranen konservativen Therapieversuchen erfolgt die Adenotomie in der Regel ambulant. Die herk\u00f6mmliche K\u00fcrettage gilt nach wie vor als etablierte Standardmethode in Deutschland. Bei klinischen Hinweisen auf Mukopolysaccharidose ist die histologische Untersuchung indiziert. Wegen des Blutungsrisikos wird auf den Gerinnungsfragebogen, der obligat vor jedem operativen Eingriff im Kindesalter durchzuf\u00fchren ist, hingewiesen. Trotz ordnungsgem\u00e4\u00dfer Adenotomie kann es zu einem Rezidiv der adenoiden Vegetationen kommen. Vor Entlassung in das h\u00e4usliche Umfeld sollte eine HNO-\u00e4rztliche Kontrolle durch Inspektion des Rachens auf Nachblutung und eine an\u00e4sthesiologische Freigabe erfolgen.<\/jats:p>","DOI":"10.1007\/s00106-023-01298-7","type":"journal-article","created":{"date-parts":[[2023,4,18]],"date-time":"2023-04-18T12:02:54Z","timestamp":1681819374000},"page":"285-293","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Adenoide Vegetationen \u2013\u00a0Diagnostik und Therapie\u00a0\u2013 die neue S2k-Leitlinie","Adenoids\u2014diagnosis and treatment: the new German S2k guideline"],"prefix":"10.1007","volume":"71","author":[{"given":"Z.","family":"Ahmad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Kr\u00fcger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Lautermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Lippert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Tenenbaum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tigges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Tisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,18]]},"reference":[{"key":"1298_CR1","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1016\/j.ijporl.2010.03.012","volume":"74","author":"N Ark","year":"2010","unstructured":"Ark\u00a0N, Kurtaran\u00a0H, Ugur\u00a0KS et\u00a0al (2010) Comparison of adenoidectomy methods: examining with digital palpation vs. visualizing the placement of the curette. 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