Abstract

A review of unusual complications following adenotonsillar surgery in a tertiary care center: An experience with 10 cases

Sanjay Kumar1, Arun Patra2, Anghusman Dutta3, Kashiroygoud Biradar4

Keywords: Adenotonsillar surgery, Atlantoaxial subluxation, Eagle’s syndrome, Post-operative complications, Tertiary care, Velopharyngeal insufficiency

DOI: 10.32677/yjm.v3i1.4407

DOI URL: https://doi.org/10.32677/yjm.v3i1.4407

Publish Date: 11-05-2024

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Pages: 36 - 42

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Downloads: 5

Citation: 0

Author Affiliation:

1Associate Professor, Department of ENT, 
2Assistant Professor, Department of Anaesthesia
3Professor and Head, Department of ENT-HNS, Command Hospital Airforce, Bengaluru, Karnataka, India
4Resident, Department of ENT-HNS, Command Hospital Airforce Bangalore, Rajiv Gandhi University of Health Sciences

Abstract

Background: Adenotonsillar surgery, a common surgical procedure, has been generally considered safe with minimal complications. The aim of this study was to investigate and elucidate uncommon complications observed post-adenotonsillar surgeries at a tertiary care center, aiming to enhance current clinical understanding. Methods: A retrospective analysis was conducted on 200 patients who underwent adenotonsillar surgeries from January 2020 to December 2021. Ten patients presenting with unusual postoperative complications were assessed. Data encompassing demographics, co-morbidities, presentation, diagnosis timeline, interventions, and management were collected. Results: Of the analyzed cohort, 5% (n=10) manifested unusual complications. Complications were evenly distributed across genders, with Velopharyngeal Insufficiency (VPI) marginally more prevalent in females. Down Syndrome was identified as a significant co-morbidity for Atlanto-axial Subluxation. Age was a determining factor for complications, with Atlanto-axial Subluxation more common in younger patients and Eagle's Syndrome in adults. Management varied from conservative to surgical interventions. Conclusion: Adenotonsillar surgeries, while routinely performed, can lead to unusual complications. Clinicians need to be observant post-operatively, ensuring comprehensive patient monitoring and communication. This case series contributes to the existing body of knowledge, promoting informed clinical decision-making.