Frequency of adenotonsillectomy in some Nairobi hospitals.
OBJECTIVE
To determine the frequency of adenotonsillectomy in a sample of Kenyan hospitals and to review indications, timing and complications in 97 cases of adenotonsillectomy done by the authors.


METHODS
Retrospective, descriptive study.


METHODS
Kenyatta National, Nairobi, Aga Khan, Gertrude and Mater Hospitals.


RESULTS
Adenotonsillectomy is the most frequent otolaryngologic surgical operation. Indications for surgery were upper airway obstruction in 61.3%, recurrent tonsillitis in 28.7% and both in 7.5%. Surgery was indicated during the acute stage in 6.8% of cases. There was one case of post-operative acute airway obstruction. Post operative bleeding from the tonsillar bed was encountered in 2.1% of cases.


CONCLUSIONS
Adenotonsillectomy is the most common otolaryngologic surgical operation in our set-up. The low frequency of complications and a short hospital stay puts up a case for routine adenotonsillectomy as a day surgery procedure.
Oburra
H O
HO
Department of Surgery, College of Health Sciences, University of Nairobi, P.O. Box 19676, Nairobi.
Idenya
M
M
D000233:Adenoidectomy / Q000706:statistics & numerical data*; D000402:Airway Obstruction / Q000601:surgery; D002675:Child, Preschool; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D008297:Male; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods / Q000706:statistics & numerical data*; D012008:Recurrence; D012189:Retrospective Studies; D014068:Tonsillectomy / Q000706:statistics & numerical data*; D014069:Tonsillitis / Q000601:surgery