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

Himani Sharma; Kaveri Birla; Srijan Bareja; Rohit Saxena; Pooja Bhati

doi:10.18203/issn.2454-5929.ijohns20240065

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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