Postoperative complications following tonsil and adenoid removal in Kuwaiti children: A retrospective study

Khalid Al Sebeih1, Jumana Hussain2, Ahmed N Albatineh3

  • 1Consultant of Otolaryngology Head and Neck Surgery, Fascial Plastics, Kuwait University, Kuwait.

Insights

Adenoidectomy and adenotonsillectomy are common surgeries with low major bleeding complication rates (around 4% for adenotonsillectomy, 2% for adenoidectomy). Minor complications like malodor, fever, and snoring affect 15-25% of patients.

Area of Science:

  • Otolaryngology
  • Surgical Outcomes
  • Pediatric Surgery

Background:

  • Adenoidectomy and adenotonsillectomy are frequently performed otolaryngologic procedures worldwide.
  • Patient preoperative symptoms and health status influence complication rates.
  • Identifying complication prevalence is crucial for surgical risk assessment.

Purpose of the Study:

  • To determine the prevalence of major complications (bleeding) and minor complications (malodor, fever, snoring) after adenoidectomy and adenotonsillectomy.
  • To analyze factors associated with post-operative bleeding complications.

Main Methods:

  • Retrospective chart review of 825 patients undergoing surgery between January 2002 and December 2016.
  • Analysis of major complications (bleeding) and minor complications (malodor, fever, snoring).
  • Statistical analysis including odds ratios and confidence intervals to identify risk factors.

Main Results:

  • Bleeding complication prevalence was 4.1% for adenotonsillectomy and 1.3% for adenoidectomy.
  • Tonsil grade 3 was associated with a reduced risk of bleeding (86% reduction).
  • Grade C tympanogram and upper respiratory tract infections (URTIs) showed marginally significant increased odds of bleeding (OR=10.6, OR=3.03 respectively).
  • Minor complications: 71% no malodor, 25% malodor 3-7 days; 71% no snoring, 25% snoring 3-7 days; 80% no fever, 13% fever 3-7 days.

Conclusions:

  • Major bleeding complications are infrequent, occurring in approximately 4% after adenotonsillectomy and 2% after adenoidectomy.
  • Minor complications such as malodor, snoring, and fever are more common, affecting 15-25% of patients.
  • The occurrence of minor complications appears independent of preoperative symptoms.
Abstract

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