INTERVAL TONSILLECTOMIES

COMPARISON OF PER AND POST OPERATIVE COMPLICATIONS IN PATIENTS UNDERGOING EARLY AND DELAYED AFTER PERITONSILLAR ABSCESS

Abstract

Introduction: Peritonsillar abscess is a common clinical problem faced by
otorhinolaryngologist all over the world. There are different schools of thoughts regarding
tonsillectomy after peritonsillar abscess due to its expected complications. This comparative
study was conducted to know about frequency of complications in each of the techniques.
Objective: To compare per and post operative complications in patients undergoing early and
delayed interval tonsillectomy after peritonsillar abscess. Design: This was randomized control
trial. Setting: Department of ENT, Head and Neck surgery, PGMI/HMC, Peshawar. Period:
From Jan 2012 to Dec 2013. Material and Methods: After taking detailed history, thorough
examination, relevant investigations and informed written consent peritonsillar abscess was
drained and then interval tonsillectomy was performed. The complications were noted on
predesigned proforma. Chi square test was used to compare the complications in both the
groups while keeping P < 0.05 as significant. Results: Out of 60 patients males were 38 and
females were 22 with male to female ratio of 1.31:1. Average age was 24.7 years + 7.63 SD
with a range of 13-45 year in Group-A, while Group B has average age of 23.97 year + 7.07 SD
with a range of 13-46 years. Findings of per-operative and post operative hemorrhage showed
that there was insignificant difference in both the groups (P=0.601). However pain and hospital
stay in both the groups was significantly different with P value of 0.004 and 0.000 respectively.
Conclusions: Early interval tonsillectomy is an easy and safe procedure for peritonsillar
abscess.