Post-tonsillectomy and adenotonsillectomy morbidity and complications at district headquarter hospital daggar

ABSTRACT

Tonsillectomy or adenotonsillectolny is one of the commonly performed operations in ENT practice. Morbidity and complications associated with tonsillectomy and adenotonsillectomy include severe otalgia, pyrexia, odynophagia and haemorrhage. A prospective study was undertaken from April 1996 to April 2001 to report the experience regarding postoperative morbidity/complications in tonsillectomy and/or adenotonsillectomy. A total of 1500 patients undergoing tonsillectomy or adenotonsillectomy for chronic/recurrent tonsillitis or adenotonsillar hypertrophy were included. These patients received antibiotic in the form of amoxycillin and clavulanic acid and non-salicylate analgesics for 7 days postoperatively. 100 patients were lost to follow up. Seventy% of patients were female and thirty% males with maximum number of patients between the age of 11-22 years. Postoperative complications developed in 25 out of 1400 patients, 14 of them developed post-operative bleeding and 9 developed postoperative infection. Conclusions: It was found that postoperative morbidity / complications were less in this study with regard to secondary haemorrhage, operative site infection, intensity and duration of postoperative pain, postoperative pyrexia and time for return to normal activities