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Abstract:

Background: Tonsillectomy is one of the surgical techniques most practiced by otolaryngologists, and despite being a relatively simple technique; it presents a considerable percentage of complications, such as postoperative bleeding.

Objectives: The aim of the study was to compare the tonsillectomy in adults: indications and complications in a tertiary care hospital.

Methods: This cross-sectional study was carried out in the Department of Medicine, Mymensingh medical college hospital, Mymensingh, during January 2023 to December 2023. A total of 200 patients were participated in the study. Statistical analyses of the results were be obtained by using window-based Microsoft Excel and Statistical Packages for Social Sciences (SPSS-24).

Results: In this study, the population consisted of (56.5%) children under the age of 15 and (43.5%) adults over the age of 15. In terms of gender distribution, (54%) of the sample population was male, while (46%) was female. And 9(4.5%) of the patients suffered trauma, 5(2.5%) had difficult intubation, 3(1.5%) had anesthesia difficulty, and 183(0.91) had no complications. In terms of the study population's symptoms, 113 (56.5%) had recurrent or chronic tonsillitis with obstructive symptoms and 34 (22%) had adenotonsillar hypertrophy with obstructive symptoms.

Conclusion: The most common surgical indication was recurrent tonsillitis and bleeding the most common and important complication. Regarding the risk of post-tonsillectomy hemorrhage, no statistically significant differences were detected in patients in whom tonsillar pillars were sutured comparing to those that were not, nor related to surgical indication. Tonsillectomy was not set as outpatient surgery at the time.