Post-tonsillectomy and adenotonsillectomy morbidity & complications at District Headquarter Hospital Daggar.
BACKGROUND
Tonsillectomy or adenotonsillectomy is one of the commonly performed operations in ENT practice. Morbidity & complications associated with tonsillectomy and adenotonsillectomy include severe otalgia, pyrexia, odynophagia and haemorrhage.


METHODS
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 adenotonsillectom 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.


RESULTS
Seventy percent of patients were female and thirty percent 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 & duration of postoperative pain, postoperative pyrexia and time for return to normal activities.
Zakirullah
ENT-B Unit, Department of ENT & Head/Neck Surgery, Khyber Teaching Hospital, Peshawar, Pakistan.
D000233:Adenoidectomy / Q000009:adverse effects*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000658:Amoxicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D019818:Clavulanic Acid / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000453:epidemiology; D011446:Prospective Studies; D013530:Surgical Wound Infection / Q000453:epidemiology; D014068:Tonsillectomy / Q000009:adverse effects*
D000900:Anti-Bacterial Agents; D019818:Clavulanic Acid; D000658:Amoxicillin