Complications of Tonsillectomy and Management

Authors

  • Arifullah ., Dr. Town Teaching Hospital, Peshawar, Pakistan
  • Sayed Zafar Hassan, Dr. District Hospital Kohat, Pakistan
  • Ghulam Muhammad, Dr. Khyber Teaching Hospital, Peshawar, Pakistan

DOI:

https://doi.org/10.37762/jgmds.2-1.58

Keywords:

Tonsillectomy, Complications of tonsillectomy, pre and post-op steps in tonsillectomy

Abstract

OBJECTIVE:
The objective of the study was to determine the complications of tonsillectomy and management of these the complications.
MATERIAL AND METHODS:
The study was Randomized controlled trial conducted from 1st January 2008 to 31 December 2009 (of two year duration) at ENT Department Khyber Teaching Hospital, Peshawar. Total 2156indoorpatientsof all age ad both sex, underwent tonsillectomy were included in the study.
RESULTS:
In my study all of the 2156 patients underwent tonsillectomy were having pain in which 1176 patients (56%) with mild to moderate pain and 980 patients (44%) with severe pain, 1274 patients (59%) nausea and vomiting, 129 patients (7%) bleeding, 19 patients (<1%) airway obstruction, 273 patients fever and infection, 17 patients (<1%) pneumonia, 126 patients (6%) dehydration, and injury to surrounding structure like teeth injury in 105 patients (5%), temporary uvular or tongue edema in 367 patients (17%), and other rare complications (<1%) like temporomandibularjoint dislocation in 7 patients, Grisel’s syndrome in 5 patients, atlanto-axial joint subluxation in 1 patient and glossopharyngeal nerve damage in 3 patients.
CONCLUSION:
Though tonsillectomy is a routine and safe surgery can result in morbid complications and can cause death. By adopting pre and per-op basic steps can minimize the complications of tonsillectomy.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Vestergaard H, Wohlfahrt J, Westergaard T, et al. Incidence of tonsillectomy in Denmark, 1980 to2001. Pediatr Infect Dis J. 2007; 26:1117-1121 DOI: https://doi.org/10.1097/INF.0b013e31814536ba

Bizaki A1, Kääriäinen J, Harju T, Rautiainen M. Head Face Med. 2014 Cohen D, Dor M. Morbidity and mortality of post-tonsillectomy bleeding: analysis of cases. J Laryngol Otol. 2008;122:88-92 DOI: https://doi.org/10.1017/S0022215107006895

Randall DA, Hoffer ME. Complications of tonsillectomy and adenoidectomy Otolaryngol Head Neck Surg. 1998 Jan;118(1):61-8 DOI: https://doi.org/10.1016/S0194-5998(98)70376-6

Ahmed AO1, Aliyu I, Kolo ES. Indications for tonsillectomy and adenoidectomy: our experience. Niger J ClinPract. 2014 Jan-Feb;17(1):90-4. doi: 10.4103/1119-3077.122855 DOI: https://doi.org/10.4103/1119-3077.122855

Shah UK, Terk A. New techniques for tonsillectomy and adenoidectomy. Oper Tech Otolaryngol. 2009;20:160-166 DOI: https://doi.org/10.1016/j.otot.2009.10.018

Buckley A1, Savage E. Preoperative information needs of children undergoing tonsillectomy.J ClinNurs. 2010 Oct;19(19-20):2879-87. doi: 10.1111/j.1365-2702.2010.03273 DOI: https://doi.org/10.1111/j.1365-2702.2010.03273.x

Asaf T, Reuveni H, Yermiahu T, et al. The need for routine preoperative coagulation screening tests (prothrombin time PT/ partial thromboplastin time PTT) for healthy children undergoing elective tonsillectomy and/or adenoidectomy. Int J PediatrOtorhinolaryngol. 2001;61:217-222 DOI: https://doi.org/10.1016/S0165-5876(01)00574-2

Brigger MT, Brietzke SE. Outpatient tonsillectomy in children: a systematic review. Otolaryngol Head Neck Surg. 2006; 135:1-7 DOI: https://doi.org/10.1016/j.otohns.2006.02.036

Mallampati S, Gatt S, Gugino L, et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can AnaesthSoc J. 1985; 32:429-434 DOI: https://doi.org/10.1007/BF03011357

Vinik R, Wanner N, Pendleton RC. Periprocedural antithrombotic management: a review of the literature and practical approach for the hospitalist physician. J Hosp Med. 2009; 4:551-559 DOI: https://doi.org/10.1002/jhm.514

C. V. Praveen, SubashiniParthiban, R. M. Terry. Complictions of tonsillectomy. Indian Journal of Otolaryngology and Head & Neck Surgery January 2013, Volume 65, Issue 1, pp 24-28 DOI: https://doi.org/10.1007/s12070-012-0584-8

HashmiMA, Ahmed A,Aslam S, Mubeen M. complications of tonsillectomy. JCPSP 2012, Vol. 22 (8): 505-509

Bean-Lijewski JD, Kruitbosch SH, Lewis Hutchinson L, et al. Post-tonsillectomy pain management in children: Can we do better? Otolaryngol Head Neck Surg. 2007;137:545-551 DOI: https://doi.org/10.1016/j.otohns.2007.06.731

Hwang SH1, Song JN, Jeong YM, Lee YJ, Kang JM. The efficacy of honey for ameliorating pain after tonsillectomy: a meta-analysis. Eur Arch Otorhinolaryngol. 2014 Dec 19 DOI: https://doi.org/10.1007/s00405-014-3433-4

Sadhasivam S1, Chidambaran V, Olbrecht VA et al. Opioid-Related Adverse Effects in Children Undergoing Surgery: Unequal Burden on Younger Girls with Higher Doses of Opioids. Pain Med. 2014 Dec 17. doi: 10.1111/pme.12660 DOI: https://doi.org/10.1111/pme.12660

Arora R, Saraiya S, Niu X, et al. Post tonsillectomy hemorrhage: Who needs intervention?Int J PediatrOtorhinolaryngol. 2014 Dec 8. pii: S0165-5876(14)00651-X. doi: 10.1016/j.ijporl.2014.11.034 DOI: https://doi.org/10.1016/j.ijporl.2014.11.034

Shi ZP, Wang CC, Lee JC, et al. Post-tonsillectomy hematomaof the mouth floor. Eur Arch Otorhinolaryngol. 2006;263:1041-1043 DOI: https://doi.org/10.1007/s00405-006-0101-3

Clement DM, Supriya WA, McKerrow WS. Antibiotics to reduce post-tonsillectomy morbidity. Cochrane Database Syst Rev. 2008;(2):CD005607

6. Kim JP, Park JJ, Kang HS, Song MS. Subcutaneous emphysema and pneumomediastinum after tonsillectomy. American Journal of Otolaryngology. 2010;31(3):212–215 DOI: https://doi.org/10.1016/j.amjoto.2009.02.004

Colclasure J, Graham S. Complications of outpatient tonsillectomyand adenoidectomy: a review of 3,340 cases. Ear NoseThroat J. 1990;69:155-160

Goins MR, Pitovski DZ. Post-tonsillectomy taste disorder: a significant complication. Laryngoscope. 2004;114:1206-1213 DOI: https://doi.org/10.1097/00005537-200407000-00015

Gupta S, Sing S, Misra T, et al. Fracture of the mandibular condyle as a complication of tonsillectomy. Ear Nose Throat J. 1989;68:477-479

Wilson BC, Jarvis BL. Nontraumatic subluxation of the atlantoaxial joint: Grisel’s syndrome. Ann OtolRhinolLaryngol. 1987;96:705-708 DOI: https://doi.org/10.1177/000348948709600620

Downloads

Published

2015-09-01

How to Cite

., A., Hassan, S. Z., & Muhammad, G. (2015). Complications of Tonsillectomy and Management. Journal of Gandhara Medical and Dental Science, 2(1), 16–21. https://doi.org/10.37762/jgmds.2-1.58