Related Experiment Video
Updated: Feb 4, 2026

Studying Brain Function in Children Using Magnetoencephalography
Published on: April 8, 2019
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.
Background:
Adenoidectomy and adenotonsillectomy are two of the most common procedures that are performed by otolaryngologists around the world. Complications, ranging from major to minor ones, are affected by the preoperative symptoms and health status of the patient. We aimed to identify the prevalence of major postadenoidectomy and adenotonsillectomy complications, including bleeding, and minor complications, including malodor, fever, and snoring.
Materials And Methods:
We conducted a retrospective chart review of 825 patients who underwent surgery between January 2002 and 30 December 2016 at our institution.
Results:
The bleeding complications prevalence was 4.1% (14/344) among patients with adenotonsillectomy and 1.3% (6/480) among those who underwent adenoidectomy. Results revealed that tonsil grade 3 patients were at a reduced risk (86% reduced risk) of developing bleeding complications, compared to those with tonsil grade 2 [odds ratio (OR) = 0.141, 95% confidence interval (CI): (0.028, 0.715)]. Grade C tympanogram patients had ten times the odds of bleeding complications compared to those with tympanogram grade A [OR = 10.6, 95% CI: 0.917, 122.54], a marginally significant difference (probability value (PV) = 0.054). Upper respiratory tract infections (URTIs) patients had three times the odds of bleeding complications compared to those without URTIs [OR = 3.03, 95% CI: (0.979, 9.439)], also a marginally significant difference (PV = 0.055). Postoperatively, 71% experienced no malodor, 23% had malodor lasting 3-7 days, and 1% had malodor for 7-10 days. Our analysis showed that 71% of the patients did not complain of snoring, 25% had snoring for 3-7 days, and 2% had snoring for 7-10 days. 80% of the patients did not develop fever, 13% had fever for 3-7 days, and no patients experienced fever for longer than 7 days.
Conclusions:
Nearly 4% of the patients developed bleeding after adenotonsillectomy and only 2% of the patients had only bleeding after adenoidectomy. Conversely, 15-25% of the patients developed minor complications, including malodor, snoring, and fever, independent of their preoperative symptoms.
More Related Videos
Related Concept Videos
Tonsillitis I: Introduction
Etiology
Three primary contributing factors have been identified.
Tonsillitis II: Management
Hemodialysis II: Procedure and Complications
Pneumonia III: Complications and Assessment
Diabetes: Symptoms, Diagnosis, and Complications
Asthma-III: Symptoms and Complications
Classification of Asthma

