RESUMEN
Occurrence of post tonsillectomy hemorrhage in pediatric age group. This study was conducted at ENT department Jinnah Post Graduate Medical Center Karachi and Kulsoom Bai Valika Social Security Hospital between Nov 2007 and Nov. 2009. Prospective study. Five hundred patients of pediatric age group were included who had undergone tonsillectomy. Patients included having recurrent episodes of tonsillitis required medical treatment. These episodes occurred 4-5 times in two years or 2-3 episodes in a year. Exclusion criteria included children less than 3 year or older than 14 year, history of acute tonsillitis within six weeks, sign of recent upper respiratory tract infection. The tonsils were removed by dissection and diathermy method. Hemostasis secured by ligature and electrocautery technique. Patients observe for post tonsillectomy haemorrhage in ward and follow up after discharge on 6, 12 and 15th day. 44.4% of patients were male and 55.6% were female and mean age presentation is 8.7 years. The overall incidence of post-operative hemorrhage is 4%, of these 15% were primary hemorrhage and secondary hemorrhage is 85%. The incidence of secondary hemorrhage was 3.4%. The 76% of secondary hemorrhage was managed by conservative management and 23.5% patient need surgical intervention and one patient required blood transfusion
RESUMEN
The objective of this clinical trial was to asses the efficacy of topical quinolones and compare it with the most commonly used aminoglycoside [gentamicin hydrocortisone] ear drops. Patients and methods: One hundred and twenty patients were recruited in this comparative clinical trial and divided into two groups: aminoglycoside group of 60 patients were treated with gentamycin hydrocortisone ear drops and quinolone group of 60 patients were prescribed norfloxacin topical solution with a dose of 6 drops in the affected ear twice daily for two weeks. In the aminoglycoside group 30 patients had complete cessation of the discharge, in 12 discharge decreased in amount and mucoid in nature and 18 had no change in the amount and nature of discharge. In the quinolone group in 43 patients discharge stopped completely, in 12 discharge reduced and became mucoid whereas in 5 no change in the amount and nature of the discharge occurred. We recommend that in the medical management of chronic suppurative otitis media, the topical quinolones should be considered first line of treatment as there are no ototoxic effects of quinolones, which can be used safely in the presence of tympanic membrane perforation