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Original Article

IJMDC. 2020; 4(11): 1970-1974


Comparison of the effect of different techniques of tonsillectomy on the incidence of post-operative complications

Marwan Faleh Alnofaie, Samir Ahmad Hassan Badr, Khaled Saleh Alharthi, Turki Naif Alotaibi, Muhammad Khaled Alotaibi.




Abstract

Background: Tonsillectomy is a common surgery done nowadays by otolaryngologists among pediatric age groups, with recent scientific advancement, several techniques have been recognized. The aim of this research was to reach an optimal technique concerning the postoperative complications in King Faisal Hospital in Taif, Saudi Arabia.
Methodology: In this retrospective case-series study, pediatric patients who underwent tonsillectomy and adenotonsillectomy at King Faisal hospital were randomly enrolled, from July 2020 to September 2020.
Results: Totally 102 patients were studied, of which 66.7% were males and median age of patients was 7.8 ± 3.7 years. Findings of the study indicated that the most common clinical indication for operation was recurrent adenotonsillitis (90.2%). The majority of the cases were done as case day surgery (91.2%) and the most used surgical technique was cold knife technique (83.3%). Bleeding was the most common complication that occurred in 5 (4.9%) of the patients, followed by pain (1%) and dysphagia (1%). Secondary bleeding was reported in 5 (4.9%) patients. No significant differences were observed between bleeding as general, types of bleeding and post-operative pain in relation to the surgical techniques, as the calculated p-values were recorded as 0.855, 0.855, and 0.904, respectively. There was a significant relation between post-operative complications and the used surgical techniques (p = 0.000).
Conclusion: There was a significant relation between post-tonsillectomy complications as a whole and cold knife technique. There were no significant differences between post-tonsillectomy bleeding and pain as a single entity in relation to the operative technique.

Key words: Tonsillectomy, adenotonsillitis, post-operative complications, operative technique






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