Retrospective Review of Tonsillectomy and Adenoidectomy Outcomes in Pediatric Patients: Complications and Recurrence Rates

Author:

Rao P Srinivas Narasinga1,Ajmeera Raju Naik2,Abhishek M P3,Nalini M. Rama4,Malik Kirti5,Nelson Anish6,Tiwari Rahul7

Affiliation:

1. Department of ENT, Gayatri Vidya Parishad Institute of Health Care and Medical Technology, Visakhapatnam, Andhra Pradesh, India

2. Department of ENT, Kakatiya Medical College, Warangal, Telangana, India

3. Department of ENT, Chamarajanagara Institute of Medical Sciences (CIMS), Chamarajanagara, Karnataka, India

4. Department of Oral and Maxillofacial Surgery, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India

5. Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India

6. Department of Oral and Maxillofacial Surgery, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed To Be University), Mangaluru, Karnataka, India

7. Senior Consultant Oral and Maxillofacial Surgeon, CLOVE Dental, Visakhapatnam, Andhra Pradesh, India

Abstract

ABSTRACT Objective: This retrospective review aimed to analyze the outcomes of tonsillectomy and adenoidectomy (T and A) procedures in pediatric patients, focusing on complications and recurrence rates. Methods: Medical records of pediatric patients who underwent T and A were retrospectively reviewed. Data on patient demographics, preoperative indications, surgical techniques, intraoperative findings, postoperative complications, and recurrence rates were collected and analyzed. Results: A total of 240 pediatric patients were included in the study. Postoperative complications occurred with postoperative bleeding being the most common (5.2%). Other complications included infection (3.1%), respiratory compromise (1.7%), and velopharyngeal insufficiency (0.6%). Recurrence of tonsillitis and adenoiditis was observed in 6.7% of cases, respectively. Conclusion: This retrospective review provides valuable insights into the outcomes of T and A procedures in pediatric patients. Postoperative complications, including bleeding and infection, underscore the importance of meticulous surgical technique and postoperative care. Recurrence rates of tonsillitis and adenoiditis highlight the need for long-term follow-up and surveillance in pediatric patients undergoing T and A.

Publisher

Medknow

Reference7 articles.

1. Primary and secondary postoperative hemorrhage in pediatric tonsillectomy;Xu;World J Clin Cases,2021

2. Serious post-tonsillectomy hemorrhage with and without lethal outcome in children and adolescents;Windfuhr;Int J Pediatr Otorhinolaryngol,2013

3. Dexamethasone and risk of nausea and vomiting and postoperative bleeding after tonsillectomy in children: A randomized trial;Czarnetzki;JAMA,2008

4. Efficacy of tonsillectomy and adenoidectomy as an outpatient procedure: A preliminary report;Shott;Int J Pediatr Otorhinolaryngol,1987

5. Adenoidectomy and persistent velopharyngeal insufficiency: Considerations, risk factors, and treatment;Lambert;Int J Pediatr Otorhinolaryngol,2021

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