Tonsillectomy Indications and Complications: 10 Years of Experience

Öz

Objective: In this study, tonsillectomy indications and post-tonsillectomy complications were discussed in the light of the literature. Material and Method: A retrospective file review of 775 patients who underwent tonsillectomy was performed between January 2014 and January 2024. Demographic data, preoperative indications, perioperative and postoperative complications of the patients were accessed from hospital records. Results: Of the 775 patients who underwent tonsillectomy, 459 (59.2%) were male and 316 (40.8%) were female. Of the 630 pediatric patients, 404 (64.1%) were operated on for obstruction, 209 (33.1%) for recurrent tonsillitis, 11 (1.7%) for suspected malignancy, and 6 (0.9%) for Periodic Fever-Aphthous-Stomatitis-Pharyngitis-Adenitis (PFAPA) Syndrome. Of the 145 adult patients, 67 (46.2%) were operated on for recurrent tonsillitis, 39 (26.9%) for obstruction, 32 (22.1%) for suspected malignancy, 4 (2.7%) for peritonsillar abscess, and 3 (2.1%) for chronic caseous tonsillitis. In the postoperative period, bleeding was detected in 18 (2.8%) of 630 pediatric patients and oral intake disorder was detected in 4 (0.6%). Postoperative bleeding complications were observed in 15 (10.3%) of 145 adult patients. Conclusion: In our study, obstruction was seen as the primary indication for surgical intervention in the pediatric patient group, while infectious causes were seen in the adult patient group. The most common complication was bleeding. Tonsillectomy is an operation in which good planning of surgical indications and good postoperative follow-up are important.

Anahtar Kelimeler

• Tonsillectomy
• indication
• complication
• bleeding.

Tonsillektomi Endikasyon ve Komplikasyonları: 10 Yıllık Deneyim

Öz

Amaç: Tonsillektomi, Kulak Burun Boğaz hekimlerinin en sık uyguladığı ameliyatlardandır. Bu çalışmada, tonsillektomi endikasyonları, tonsillektomi sonrası görülen komplikasyonlar literatür eşliğinde tartışıldı Yöntem ve Gereç: Ocak 2014 ile Ocak 2024 arasında bademcik ameliyatı geçiren 775 hastanın retrospektif dosya incelemesi yapıldı. Hastaların demografik verilerine, ameliyat öncesi endikasyonlarına, ameliyat sırasındaki ve ameliyat sonrası komplikasyonlara hastane kayıtlarından ulaşıldı. Bulgular: Tonsillektomi yapılan 775 hastanın 459’u (%59,2) erkek, 316’sı (%40,8) kadın idi. 630 pediatrik hastanın 404’ü (%64,1) obstrüksiyon, 209’u (%33,1) rekürren tonsillit, 11’i (%1,7) malignite şüphesi ve 6’sı (%0,9) PFAPA sendromu nedeniyle opere edildiği saptanmıştır. Yetişkin 145 hastanın 67’si (%46,2) rekürren tonsillit, 39’u (%26,9) obstrüksiyon, 32’si (%22,1) malignite şüphesi, 4’ü (%2,7) peritonsiller apse ve 3’ü (%2,1) kronik kazeöz tonsillit nedeniyle opere edildiği saptanmıştır. 630 pediatrik hastanın 18’inde (%2,8) kanama ve 4’ünde (%0,6) oral alım bozukluğu saptanmıştır. Sonuç: Çalışmamızda pediatrik hasta grubunda obstrüksiyon, yetişkin hasta grubunda enfeksiyöz nedenlerin operasyon endikasyonları arasında ilk sırada olduğu görülmüştür. Komplikasyonlardan da kanama daha sık saptanmıştır. Bu ameliyatın, cerrahi endikasyonun iyi planlanmasının ve postoperatif takibin iyi yapılmasının önemli olduğu operasyonlardan biri olduğunu düşünüyoruz.

Anahtar Kelimeler

• Tonsillektomi
• endikasyon
• komplikasyon
• kanama.

Kaynakça

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