Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 5 Issue 9

Complications Following Tonsilloadenoidectomy

Ivan Baljoševic*, Mladen Novkovic, Vladan Subarevic, Katarina Stankovic, Aleksandra Bajec-Opancina and Stefan Popovic

ORL Department, Mother and Child Health Care Institute of Serbia "Dr Vukan Cupic, Belgrade, Serbia

*Corresponding Author: Ivan Baljoševic, ORL Department, Mother and Child Health Care Institute of Serbia "Dr Vukan Cupic, Belgrade, Serbia.

Received: July 18, 2022; Published: August 04, 2022

Abstract

Aim of study: The aim of this study is to present the incidence of complications following tonsilloadenoidectomy and to determine causative factors for complications.

Methods: The study is a prospective analysis encompassing 200 children aged 2,5 to 10 years with a history of tonsilloadenoidectomy from October 2017 to April 2018. The results were determined using descriptive statistical methods.

Results: 124 or 62% of treated patients were males and 76 or 38% females, 71 or 36% were children aged 2.5 to 4 years, 89 or 44% children aged 5 to 7 years and 40 or 20% children aged 8 to 10 years. Postoperative hemorrhage was classified as either primary (within 24h) seen in 3 patients or secondary (after 24h) seen in 8, with a total post-tonsillectomy hemorrhage rate of 11 (5,5%). Other complications included elevated body temperature seen in 16 (8%) cases, vomiting in 16 (8%), dehydration in 8 (4%), and diarrhea in 6 (3%). Conclusion: Bleeding following tonsilloadenoidectomy appears more often in children with a history of frequent tonsillopharyngitis prior to operation and vomiting and diarrhea were more frequent in children aged 2 to 4 years.

 

Keywords: Tonsillectomy; Complications; Children

References

  1. Gallagher TQ., et al. “Analyzing factors associated with major complications after adenotonsillectomy in 4776 patients: comparing three tonsillectomy techniques”. Otolaryngology-Head and Neck Surgery 142 (2010): 886-892.
  2. Richter GT and Willging JP. “Suction cautery and electrosurgical risks in otolaryngology”. International Journal of Pediatric Otorhinolaryngology 72 (2008): 1013-1021.
  3. Windfuhr JP., et al. “Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents”. International Journal of Pediatric Otorhinolaryngology 72 (2008): 1029-1040.
  4. Geiser T., et al. “In vivo platelet activation is increased during sleep in patients with obstructive sleep apnea syndrome”. Respiration 69 (2002): 229-234.
  5. Hui DS. “The effects of nasal continuous positive airway pressure on platelet activation in obstructive sleep apnea syndrome”. Chest 125 (2004): 1768-1775.
  6. Wessendorf TE., et al. “Fibrinogen levels and obstructive sleep apnea in ischemic stroke”. American Journal of Respiratory and Critical Care Medicine 162 (2000): 2039-2042.
  7. Reinhart WH., et al. “Blood viscosity and platelet function in patients with obstructive sleep apnea syndrome treated with nasal continuous positive airway pressure”. Clinical Hemorheology and Microcirculation 27 (2002): 201-207.
  8. Robinson GV., et al. “Circulating cardiovascular risk factors in obstructive sleep apnoea: data from randomised controlled trials”. Thorax 59 (2004): 777-782.
  9. Rangemark C., et al. “Platelet function and fibrinolytic activity in hypertensive and normotensive sleep apnea patients”. Sleep 18 (1995): 188-194.
  10. Perkins J., et al. “Risk of Post-Tonsillectomy Hemorrhage by Clinical Diagnosis”. Laryngoscope 10 (2012): 2311-2315. 
  11. Dhaduk , et al. “Post-Tonsillectomy Bleeding: A National Perspective”. Annals of Otology, Rhinology and Laryngology 130.8 (2021): 941-947.
  12. Xu B., et al. “Primary and secondary postoperative hemorrhage in pediatric tonsillectomy”. World Journal of Clinical Cases 7 (2021): 1543-1553.
  13. Tran A., et al. “Hospital revisits after paediatric tonsillectomy: a cohort study”. Journal of Otolaryngology - Head and Neck Surgery 51 (2022): 1-11.
  14. Statham M and Myer C. “Complications of adenotonsillectomy”. Current Opinion in Otolaryngology and Head and Neck Surgery 18 (2010): 539-543.
  15. Kalra M., et al. “Obstructive sleep apnea in extremely overweight adolescents undergoing bariatric surgery”. Obesity Research 13 (2005): 1175-1179.

Citation

Citation: Ivan Baljoševic., et al. “Complications Following Tonsilloadenoidectomy". Acta Scientific Orthopaedics 5.9 (2022): 25-29.

Copyright

Copyright: © 2022 Ivan Baljoševic., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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