Death following tonsillectomy in children is very rare. It is most commonly due to bleeding or aspiration. But, there is another potentially lethal complication following the pediatric tonsillectomy, post-surgical hyponatremia. Acute hyponatremia can lead to catastrophic neurological sequelae. Although this cmplication is not related to the surgical technique, it is potentially life-threatening...

OBJECTIVES To determine whether meta-analysis supports the use of corticosteroids to reduce post-tonsillectomy pain for pediatric patients. METHODS A systematic review of currently available randomized controlled trials using a single-dose, intravenous corticosteroid during pediatric tonsillectomy was performed. Visual analog pain scale (VAS) data was extracted with reviewers blinded to resul...

OBJECTIVES/HYPOTHESIS To evaluate the risk of post-tonsillectomy hemorrhage associated with perioperative ketorolac use. STUDY DESIGN Systematic review and meta-analysis of primary articles reporting individual-level post-tonsillectomy hemorrhage rates in subjects receiving perioperative ketorolac and matched controls. Retrospective and prospective studies were both included. METHODS PubMed...

OBJECTIVES To find the effectiveness of hyaluronic acid in post-tonsillectomy pain relief and wound healing. METHODS Fifty patients were included in this prospective, double-blind, controlled clinical study (20 males, 30 females mean age of 13.56 years). Hyaluronic acid was applied to one side and the other side was used as a control during tonsillectomy. Therefore, the same patient evaluated...

The primary objective of this audit and quality improvement project was to retrospectively analyse regional post-tonsillectomy haemorrhage data as per national recommendations. However, this process highlighted the need for high-quality routinely collected data; something that was not always available via retrospective audit and thus does not enable formal aetiological factor analyses. We there...

Introduction Tonsillectomy is one of the most commonly performed surgical procedures worldwide, with major drawback significant post operative pain.There no consensus regarding topical application or local infiltration anesthetics operatively to reduce pain. The present study was evaluate effect bupivacaine in tonsillar fossae after tonsillectomy. Materials and Methods A double-blinded clinical...

BACKGROUND Rising incidence of oropharyngeal cancers in numerous countries since the 1970s has been attributed to increased oral human papillomavirus (HPV) exposure. However, the contribution of coincidental declines in the surgical removal of the tonsils (tonsillectomy) is unknown. We quantified the association of tonsillectomy with risk of tonsillar, other oropharyngeal, and other head and ne...

Introduction: Tonsillectomy is one of the most common procedures performed by Ear, Nose, and Throat surgeon.  Usually, the procedure is carried out as an inpatient surgery. With the increasing need to reduce healthcare costs, spare precious hospital beds, and shorten elective surgery lists, there is currently a trend towards performing tonsillectomy on a daycare basis.  Materials and Methods: A...

OBJECTIVES/HYPOTHESIS The study aims to reconcile conflicting published reports regarding the clinical efficacy of a single intraoperative dose of dexamethasone in reducing post-tonsillectomy morbidity. STUDY DESIGN Systematic overview (meta-analysis). METHODS To critically evaluate the existing evidence, we performed a formal meta-analysis of eight double-blinded, randomized, placebo-contr...

OBJECTIVE To compare the rate, severity, need for intervention, and blood transfusion requirement in post-tonsillectomy bleeding following the use of either cold dissection or the monopolar microdissection needle method. METHODS A prospective randomized study conducted at Abha Private Hospital, Abha, Kingdom of Saudi Arabia, on patients undergoing tonsillectomy between June 2006 and December ...