Presentation
There are a handful of common complications, with bleeding being the most feared; however, rarer complications can present to a wide range of medical professionals. A 12-year-old girl presented with cervicofacial emphysema following tonsillectomy. [ncbi.nlm.nih.gov]
Entire Body System
- Pain
Local anesthetic decreased pain in 7 of 22 patients, and increased pain was experienced on the side with local anesthetic in 9 of 22 patients. Six of 22 patients had no difference in pain from one side to the other. [ncbi.nlm.nih.gov]
- Surgical Procedure
Tonsillectomy and adenoidectomy are the most common surgical procedures in pediatric otolaryngology. The incidence of primary hemorrhage after tonsillectomy in children ranges from 0.38 to 6%. [ncbi.nlm.nih.gov]
- Inflammation
This case suggests that an inflammation such as tonsillitis may be associated not only with the activity of IgA nephropathy but also with the production of MPO-ANCA. [ncbi.nlm.nih.gov]
[…] of the tonsil fossa because of the inflammation. [doi.org]
Tonsillectomy, the most common surgery performed on children in the U.S., is intended to relieve tonsillitis, or inflammation of the tonsils (usually by strep or staph bacteria). [merriam-webster.com]
- Weakness
There was very weak correlation between FRES and DISCERN (r = 0.07) and FKGL and DISCERN (r = 0.21). CONCLUSIONS: Tonsillectomy is one of the most common surgeries in the US. [ncbi.nlm.nih.gov]
Symptoms of dehydration include increased thirst, fatigue, decreased urination, weakness, headache or dizziness. [livestrong.com]
Learn More About Topic css id: Hoarseness Hoarseness (also called dysphonia) is an abnormal change in the quality of your voice, making it sound raspy, strained, breathy, weak, higher or lower in pitch, inconsistent, or fatigued, often making it harder [entnet.org]
You feel weak, dizzy, or like you might faint when you sit up or stand. You are not able to drink or are passing very little urine. You have pus or blood draining down your throat. You have bad throat pain with drooling or voice changes. [drugs.com]
- Severe Pain
Postoperative pain was categorized as mild, moderate, and severe pain using the Parents' Postoperative Pain Measure (PPPM). Differences in pain levels were analyzed by Chi-squared test. [ncbi.nlm.nih.gov]
This discomfort can fluctuate from mild to severe for up to 14 days. Medicate as prescribed for pain. DO NOT take Aspirin, Aspergum, Advil or Ibuprofen. [nwh.org]
This can cause severe sore throats, snoring, or other problems. Tonsillectomy is surgery to remove the tonsils. Tonsillectomy may be recommended if you have obstruction causing sleep apnea, or recurring, chronic, or severe infections. [saintlukeshealthsystem.org]
Respiratoric
- Sore Throat
Adeno-/tonsillectomy leads to a reduction in the number of episodes of sore throat and days with sore throat in children in the first year after surgery compared to (initial) non-surgical treatment. [ncbi.nlm.nih.gov]
[…] and sore throat days. [doi.org]
- Pharyngitis
Abstract Our objective was to perform a pilot study comparing intracapsular radiofrequency ablation tonsillectomy with subcapsular tonsillectomy in adult patients with keratosis pharyngeous. [ncbi.nlm.nih.gov]
Streptococcus Culture positive Treatment Criteria: Each Pharyngitis episode must have been treated with standard protocol Antibiotics at conventional dosing for suspected or proven Streptococcal Pharyngitis Documentation Criteria Medical record documents [fpnotebook.com]
The fever cycle is associated with 1 or more of the following: aphthous stomatitis, pharyngitis, and cervical adenopathy. [doi.org]
- Aspiration
Learn More About Topic css id: Aspiration Aspiration is a medical term for accidentally inhaling your food or liquid through your vocal cords into your airway, instead of swallowing through your food pipe and into your stomach. [entnet.org]
The authors conclude that this strategy definitively protected the patient against an oral exsanguination or aspiration event secondary to aneurysm rupture and reduced her risk of stroke by preserving vessel patency and caliber. [ncbi.nlm.nih.gov]
Outcome measures Blood loss In the study by Kujawski 1997 intraoperative blood loss was determined by the anaesthetist from suction aspirate. [cochranelibrary.com]
Aftercare Persons are turned on their side after the operation to prevent the possibility of blood being drawn into the lungs (aspirated). Vital signs are monitored. [encyclopedia.com]
- Hoarseness
Learn More About Topic css id: Hoarseness Hoarseness (also called dysphonia) is an abnormal change in the quality of your voice, making it sound raspy, strained, breathy, weak, higher or lower in pitch, inconsistent, or fatigued, often making it harder [entnet.org]
One of the most common yet avoidable complications of thyroid surgery are injury to the laryngeal nerve and postoperative hoarseness. With the expertise of the surgeon and the nerve monitor; this complication is significantly minimized. [dallasentgroup.com]
[…] the tonsils was thought to be absorption of secretions from the nose; it was assumed that removal of large amounts of tonsillar tissue would interfere with the ability to remove these secretions, causing them to accumulate in the larynx, resulting in hoarseness [en.wikipedia.org]
- Common Cold
Although removing the tonsils will not prevent the common cold or even every sore throat, it will stop a child from getting tonsillitis again. How are the tonsils removed? Removal of the tonsils (tonsillectomy) is a surgical procedure. [childrensmn.org]
Gastrointestinal
- Dysphagia
CONCLUSIONS: Coblation-assisted lingual tonsillectomy and tongue base reduction can successfully treat dysphagia secondary to tongue base hypertrophy. [ncbi.nlm.nih.gov]
Learn More About Topic css id: Dysphagia Dysphagia means that you can’t swallow well. Many factors may cause dysphagia, and most are temporary and non-life-threatening. [entnet.org]
- Hematemesis
The authors report on a 6-year-old girl who presented with odynophagia, left-sided Horner's syndrome, hematemesis, and severe anemia 6 months after a tonsillectomy. [ncbi.nlm.nih.gov]
Jaw & Teeth
- Dysgeusia
Over time, her symptoms have lessened, but dysgeusia and snoring remain. The position of the glossopharyngeal nerve in the tonsillar bed makes it prone to injury during tonsillectomy, especially if 'hot' methods are used. [ncbi.nlm.nih.gov]
[…] unusual and rare complications of tonsillectomy have also been described. 43 Among these are reports of vascular injury, subcutaneous emphysema, jugular vein thrombosis, atlantoaxial subluxation (Grisel syndrome), taste disorders (hypogeusia, ageusia, dysgeusia [doi.org]
- Oral Ulcers
Aphthous stomatitis: Recurrent small painful oral ulcers thought to be due to local dysregulation of cell-based immunity. [unicare.com]
Musculoskeletal
- Neck Pain
Although it is rare, patients are advised to seek treatment early if any neck pain or fever persists. Early diagnosis is important for better treatment outcome. [ncbi.nlm.nih.gov]
Some children also complain of jaw pain and neck pain. This is from positioning in the operation room. Many children have trouble eating, drinking and sleeping because of pain. [choc.org]
Your child may also have neck pain with decreased neck movement for five to seven days if they also had adenoids removed during surgery. [childrenscolorado.org]
Ibuprofen for tonsillectomy pain in children: efficacy and complications. Otolaryngol Head Neck Surg. 1998 ;119: 492 - 496. Google Scholar | SAGE Journals | ISI 201. Marret, E, Flahault, A, Samama, CM. [doi.org]
Psychiatrical
- Fear
There are a handful of common complications, with bleeding being the most feared; however, rarer complications can present to a wide range of medical professionals. A 12-year-old girl presented with cervicofacial emphysema following tonsillectomy. [ncbi.nlm.nih.gov]
The mother of a 9-year-old girl who died after a routine tonsillectomy feared the procedure would go awry, The Detroit News reported. [nydailynews.com]
Although a common fear of lymphoma involving the tonsils persist, the literature indicates non-Hodgkin lymphoma as the least common diagnosis among tonsillectomy specimens. [bloodjournal.org]
Knowing the facts can help alleviate the fears of both parents and kids facing a tonsillectomy. Tonsils and Tonsillitis Tonsils are clumps of tissue on both sides of the throat that help fight infections. [rchsd.org]
Reform is about every American who has ever feared that they may lose their coverage, if they become too sick or lose their job or change their job. [nytimes.com]
Neurologic
- Paresis
Learn More About Topic css id: Vocal Cord (Fold) Paralysis Vocal cord paralysis and paresis can result from abnormal function of the nerves that control your voice box muscles (laryngeal muscles). [entnet.org]
Workup
In 5 years lymphoma workups were performed in19 children and 42 adults. The cost of each workup was $4063.00 and Medicare reimburses $1180. [bloodjournal.org]
Otherwise, the workup for each patient was negative for infectious processes, rheumatologic disorders, and genetic syndromes when performed as directed by the primary care physician or our rheumatology colleagues. [doi.org]
Treatment
If the patient was a cooperative teenager, 38% attempted bedside treatment while 52% would still go to the operating room. [ncbi.nlm.nih.gov]
Adherence to these guidelines will not ensure successful treatment in every situation. [web.archive.org]
Prognosis
She was diagnosed with IgA nephropathy with a poor prognosis, based on the formation of many crescents in the glomerulus and monocyte infiltration in the interstitium in a renal biopsy specimen in February 2003. [ncbi.nlm.nih.gov]
Video: After your child's tonsil or adenoid surgery Outlook (Prognosis) After surgery, the number of throat infections is most often lower, but your child may still get some. Images References Goldstein NA. [ufhealth.org]
Outlook (Prognosis) After surgery, the number of throat infections is most often lower, but your child may still get some. References Goldstein NA. Evaluation and management of pediatric obstructive sleep apnea. [mountsinai.org]
Prognosis for spontaneous resolution of obstructive sleep apnea in children. Chest. 2015 ;148: 1204 - 1213. Google Scholar | Medline | ISI 15. Konstantinopoulou, S, Gallagher, P, Elden, L. [doi.org]
Etiology
There was no significant change adenoidectomy rates for chronic infectious etiologies (0.25 versus 0.21 per 1000, P = 0.326). [ncbi.nlm.nih.gov]
He concludes that there is an etiologic relationship between the operation and the development of acute poliomyelitis and that when the latter develops, the symptoms occur predominantly in the upper portion of the nervous system. [jamanetwork.com]
Epidemiology
This study elucidates the epidemiology and postoperative hemorrhage of inpatient tonsillectomies in Taiwanese children. METHODS: This study used the Taiwan National Health Insurance Research Database for analysis. [ncbi.nlm.nih.gov]
PubMed PubMed Central Google Scholar Lauer K, Firnhaber W: Descriptive and analytical epidemiological data on multiple sclerosis from a long-term study in southern Hesse, Germany. Multiple Sclerosis in Europe: An Epidemiological Update. edn. [doi.org]
Pathophysiology
To discuss the pathophysiology of atlanto-axial subluxation as a rare complication of tonsillectomy, and to discuss the important radiological findings for diagnosis and treatment planning. [ncbi.nlm.nih.gov]
[…] from 0.7% to 10% with a peak between 2 and 8 years. 3 This syndrome is associated with several adverse outcomes, including cognitive impairment, metabolic and cardiovascular consequences, behavioural deficits 4–6 and lower quality of life (QoL). 7 The pathophysiological [doi.org]
Pathophysiology The tonsils are 3 masses of tissue: the lingual tonsil, the pharyngeal (adenoid) tonsil, and the palatine or fascial tonsil. [reference.medscape.com]
Investigate microbiologic and immunologic changes associated with tonsillectomy to provide a reasonable pathophysiologic explanation for perceived improvement with surgical intervention through a change in oropharyngeal and/or nasopharyngeal biofilms [oto.sagepub.com]
Prevention
The dangerous situations leading to fire hazards and the prevention measures are discussed. [ncbi.nlm.nih.gov]
Get the latest from TODAY Jan. 17, 2017, 11:57 AM UTC / Source: TODAY A few decades ago removing a child's tonsils to prevent throat infections was almost a rite of passage. [today.com]
It is sometimes said that tonsillectomy is only performed in patients with tonsillitis, to prevent tonsillitis. But clinical situations are rarely this simple. [doi.org]