Affiliation:
1. Assistant Professor Department of ENT & Head And Neck Surgery Chirayu Medical College & Hospital, Bhopal
2. Department of ENT & Head And Neck Surgery American International Institute of Medical Science, Udaipur
Abstract
Aims: Cardiopulmonary diseases may be seen in patients with chronic adenotonsillar hypertrophy that lead to severe
obstructive sleep apnea (OSA), among which pulmonary hypertension is the most well-known. Here we compared the
oxygen saturation in children who underwent tonsilo-adenoid resection (TAR) or tonsilar resection. Fifty patients Materials and Methods:
diagnosed with chronic tonsillitis and adenoid hypertrophy was studied in the Department of Otorhinolaryngology and head and neck surgery. All
the patients have undergone TAR or tonsilar resection and oxygen saturation was recorded by pulse oximeter pre and post surgery. Male Results:
preponderance was observed (72%). Postoperative oxygen saturation (97.27±0.096) was signicantly higher to preoperative oxygen saturation
(96.42±0.123) (p<0.001). Among 50 patients, 15 underwent tonsilar resection and 35 TAR, 29 (58%) patient had risen in oxygen saturation
postoperatively, 19 (38%) patient had same saturation as prior to saturation, 2 (4%) patient had fallen in saturation after the surgery. Conclusion:
TAR is an important surgery to improve oxygen saturation in children having chronic tonsilitis. This also improves other associated complains of
snoring, mouth breathing, ear infections