Tonsillectomy, and Tonsillectomy, and AdenoidectomyAdenoidectomyBabak SaediBabak SaediAssistant professor of tehran Assistant professor of tehran universityuniversityIntroduction1994 140,000 U.S. children under the age of 1 had adenoidecto!ies and "#$,000 had adenotonsillecto!ies%his is do&n fro! a peak of over 1 !illion in the 19'0(s%hese are the !ost co!!on !a)or surgical procedures in children.History*elsus +rst described tonsillecto!y in ,0 A.-..aul of Aegina &rote his description in $" A.-.1#$' /ilhel! 0eyer reports re!oval of 1adenoid vegetations2 through the nose &ith a ring knife.191' Sa!uel 3. *ro&e published his report on 1000 tonsillecto!ies, used *ro&e4-avis !outh gag.art of /aldeyer(s ring after the 5er!an anato!ist &ho described the!HistoryHistory*elsus 0 A.-.*a6ue of 7hei!s .hilip Syng/ilhel! 0eyer 1#$'Sa!uel *ro&eAnatomyAnatomyTonsilsTonsils.lica triangularis5erlach(s tonsilAdenoidsAdenoids8ossa of 7osen!9ller.assavant(s ridgeBlood SupplyBlood SupplyTonsilsTonsilsAscending and descending palatine arteries%onsillar artery1: aberrant ;*A )ust deep to superior constrictorAdenoidsAdenoidsAscending pharyngeal, sphenopalatine arteriesHistologyHistologyTonsilsTonsilsSpecialitrafollicular0antle