Assessing intraoperative and postoperative complications associated with tonsillectomy in children: institutional study

Authors

  • Himani Sharma Department of Otorhinolaryngology, School of Medical Science and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Kaveri Birla Department of Otorhinolaryngology, School of Medical Science and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Srijan Bareja Department of Otorhinolaryngology, School of Medical Science and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Rohit Saxena Department of Otorhinolaryngology, School of Medical Science and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India
  • Pooja Bhati Department of Otorhinolaryngology, School of Medical Science and Research, Sharda Hospital, Greater Noida, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20240065

Keywords:

Tonsillectomy, Pediatric, Complications, Risk assessment, Gender, Age

Abstract

Background: Tonsillectomy, a common procedure in children aged 2 to 18, aims to improve their well-being and minimize tonsil-related complications. Comprehensive risk assessment pre and post-surgery is crucial. This study analyzed numerous pediatric tonsillectomy cases to enhance our understanding of its safety and identify associated risk factors.

Methods: A 24-month retrospective cohort study focused on 100 children (aged 2-18) who underwent unilateral or bilateral tonsillectomy at Sharda Hospital's ENT Department. Factors like age, gender, and complications during and up to 7 days post-surgery were analyzed.

Results: Gender and age were assessed for their correlation with complications in tonsillectomy patients. No significant correlation was found between gender and intraoperative or postoperative complications (p-values: 0.679584 and 0.822866). The low phi coefficient (1.501E-22) supports this, aligning with the infrequent occurrence of intraoperative complications. Age also showed no significant association with complications (p=0.77216). Postoperatively, 49.11% experienced no issues within 7 days, while common problems included pain/discomfort (31.25%), nausea/vomiting (9.82%), and secondary hemorrhage (5.36%).

Conclusions: This 24-month study on 100 pediatric tonsillectomy cases revealed no significant correlation between gender/age and complications. Postoperatively, the most prevalent issues included pain/discomfort, nausea/vomiting, and secondary hemorrhage, affecting nearly half of the patients.

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Published

2024-01-25

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Original Research Articles