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Angular cheilitis after tonsillectomy.

R J England1, M Lau, S R Ell

  • 1Department of Otolaryngology/Head & Neck Surgery, Hull Royal Infirmary, UK.

Clinical Otolaryngology and Allied Sciences
|September 3, 1999
PubMed
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Diathermy use during tonsillectomy significantly increases the risk of developing angular cheilitis, a painful complication that can hinder recovery. This finding highlights a key factor to consider for preventing postoperative oral issues.

Area of Science:

  • Otolaryngology
  • Oral Surgery
  • Surgical Complications

Background:

  • Tonsillectomy involves mechanical oral cavity retraction and intra-oral procedures in unconscious patients.
  • Postoperative angular cheilitis is a potential complication that can cause morbidity and delay diet re-establishment.

Purpose of the Study:

  • To identify factors increasing the likelihood of developing angular cheilitis after tonsillectomy.
  • To analyze the relationship between surgical variables and the incidence of this complication.

Main Methods:

  • Prospective study of 60 randomly selected patients undergoing tonsillectomy.
  • Recording and analysis of preoperative, intraoperative, and postoperative variables.
  • Correlation of angular cheilitis development with recorded variables using parametric and logistic regression analyses.

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Main Results:

  • Diathermy hemostasis was found to be directly related to the chance of developing angular cheilitis (P = 0.05).
  • Logistic regression indicated an odds ratio of 3.5 for developing angular cheilitis when diathermy was used.
  • Operation difficulty was also suggested as a potentially relevant variable.

Conclusions:

  • The use of diathermy hemostasis is a significant risk factor for developing postoperative angular cheilitis after tonsillectomy.
  • Minimizing diathermy use and considering operation difficulty may help reduce the incidence of this complication.