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

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ID: 311310
2024
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Ranked #48 of 254 articles by views in Yemen Journal of Medicine

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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.
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kumar2024review Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal Yemen Journal of Medicine
Year 2024
DOI
10.32677/yjm.v3i1.4407
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