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Tonsillectomy adenoidectomy and adenotonsillectomy - post operative complications. A meta-Analysis

Georgi Iliev, Plamen Nedev


Introduction: Tonsillectomy and adenoidectomy is a relatively safe procedure and is one of the most common operations performed by otolaryngologists, but it is nevertheless associated with certain complications.

AIM: The aim of the present study was to summarize the data about complications after tonsillectomy with or without adenoidectomy.

Matherial and methods : A meta-analysis was performed, comprising publications on tonsillectomy and adenoidectomy retrieved from the Medline bibliographic database. We show are results and compare with published articles.

Results: The average rate of postoperative complications in the reviewed publications is 7.48% with range from 1, 37% to 14,96%.

Discussion: The postoperative period is with a low risk of complications. The results from published articles and our clinic showed that the larger share occupy major complications - 1854/93.63% in the Medline bibliographic database and 23/52.27% - our result. The complications after tonsillectomy with/without adenoidectomy are rare, but for the most part - major, which necessitates caution in the postoperative period.

Conclusion: In conclusion we can say that tonsillectomy is one of the most commonly practiced operations with rare rate of complications, which anyway requires knowledge for recognizing.


tonsillectomy; adenoidectomy; complication

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About The Authors

Georgi Iliev
University Hospital `St. Marina`, Varna, Bulgaria

Clinic of Otorhinolaryngology

Plamen Nedev
University Hospital `St. Marina`, Varna, Bulgaria

Clinic of Otorhinolaryngology

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