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Category: Volume 08 Issue 06 June 2020
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Title: Incidence of post operative complications after tonsillectomy in Chittagong Medical College Hospital

Authors: Dr Md Mukhlesur Rahman, Dr Mahmuda Begum, Dr Md Abbas Uddin, Professor Dr Mujibul Hoque Khan, Professor Dr Mostafa Mahfuzul Anwar

 DOI: https://dx.doi.org/10.18535/jmscr/v8i6.112

Abstract

Background: Tonsillectomy is one of the most frequently undertaken procedures in otolaryngology, represents approximately 20-40% of surgical procedures performed in this field. Post operative complications following tonsillectomy are generally rare, with post-tonsillectomy haemorrhage being one of the most common serious complication. Episodes of post tonsillectomy haemorrhage are unpredictable and sometimes life threatening.

Materials and Methods: A prospective study was conducted department of otolaryngology-Head & Neck Surgery department, Chittagong Medical College Hospital, Chattogram from January 2018 to December 2018. We are selected 211 patients undergoing tonsillectomy. Tonsillectomy was done by cold steel disscetion technique and bipolar diathermy haemostasis.

Results: Maximum age group 107 (50.71%) were from 11-20 yrs. Maximum patients were male 130 (61.61%) and sex ratio of male:female 1.6:1. In this study commonest indication was recurrent tonsillitis 168 (79.62%). Complications that encountered after operation were haemorrhages both primary and secondary, 2(.94%) and 5(2.36%) respectively. Local trauma was 8 (3.79%) and local infection in tonsillar bed was 12 (5.66%) cases.

Conclusion: Haemorrhage after tonsillectomy may occur in few occasions and more common in male patients. Others complication like tonsillar bed infection& trauma to lip, tongue, palate and post pharyngeal wall may occur in significant number cases.

Keywords: Haemorrhage, Tonsillectomy.

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Corresponding Author

Dr Md Mukhlesur Rahman

Assistant Professor, Department of otolaryngology- Head & Neck Surgery, Chittagong Medical College, Chattogram