Palatine tonsils VeinsRegional plexuses veins & Jugular vein Lymph Deep Neck lymph nodes

Nerve Glossopharyngeal nerve & Vagus7AdenoidsArtery Pharyngeal artery Ascendant Pharyngeal a. &Facial arteryLymph Retropharyngeal NodesNerves Glossopharyngeal nerveAbsolutely Indication Of Adenotonsilectomy Recurrent Infection of tonsils ( 7 attack In year, 5 attack every Year for 2years, or 3 attack in 3 years)Tonsillitis & Seizure Quinsy Abscess Carrier of Diphtheria MalignancySleep ApneaMalocclusion Sever hypertrophy of A/T that compromise airway & deglutition Surgical Indication of Adneoidectomy Recurrent disease of middle earLarge adenoids with obstruction of airway Recurrent sinusitis (Ethmoiditis)Malocclusion (open bite or cross bite)

Relative contraindication of A/TObvious or occult cleft palateAcute infection in pharynx&tonsilsUnder 3 years oldHb less than 10 & Ht less than 30AllergyEpidemic Polio

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