Complications of adenotonsillectomy in pediatric age

Complications of adenotonsillectomy in pediatric age

Authors

  • Laura della Vecchia Department of Otorhinolaryngology, General Hospital Macchi– ASST Settelaghi, Varese, Italy
  • Francesco Maria Passali ENT Department, University Tor Vergata, Rome, Italy
  • Elisa Coden Department of Otorhinolaryngology, General Hospital Macchi– ASST Settelaghi, Varese, Italy

Keywords:

adenotonsillectomy, children, complications

Abstract

Although in recent years adenotonsillectomy procedures have shown an overall reduction in number, this surgery continues to be the most frequently performed in our speciality, especially in pediatric age. The progressive improvement in both surgical techniques and devices and anaesthesia has made adenotonsillectomy a less risky manoeuvre, but this does not mean that it is free from potential adverse events or even an easy, routine and risk-free procedure, as presented by some para scientific literature and mass media. Here we address issues related to the complications that can arise when performing this surgical procedure, which can be very serious.

References

1 Randall D., Hoffer ME., Complications of tonsillectomy and adenoidectomy. Otolaryngol Head Neck Surgery 1998; 118:61
2 Har-ElG., Nash M., Tonsillectomy and adenoidectomy. In: Krespi Y., Ossoff R., editors. Complications in head and neck surgery. Philadelphia: sanders: 75-98, 1991
3 Kavanagh K., Beckford N., Adenotonsillectomy in children: indications and contraindications. South Med J 1988; 81:507-11
4 Lowe D., Van der Meulen J., Cromwell D., et al. Key Messages from the National Prospective Tonsillectomy Audit. Laryngoscope. 2007; 117: 717-24
5 Spector Z., Saint-Victor, Kay DJ, MandellDL., Risk factors for pediatric post-tonsillectomy haemorrhage Int J Pediatr Othorhinolaryngol. 2'16 May; 84: 151-5
6 Ferrario F., La tonsillectomia: una tecnica che si rinnova Quadrni Monografici Aggiornamento AOOI 2005
7 Mansi N., Adenotonsillectomia : un problema ancora aperto Relazione Ufficiale XXIV Congresso Nazionale SIOP, Roma ,2017
8 Arora R., Saraiya S., Niu X., Thomas RL., Kannicheswaran N., Post –tonsillectomy haemorrhage: who needs intervention ?. Int J Pediatr Othorhinolaryngol 2015 Feb; 79(2):165-9
9 Perkins JN., Liang C., Shultz L., Friedman NR., Risk of post-tonsillectomy haemorrhage by clinical diagnosis. Laryngoscope. 2012 Oct; 122 (10): 2311-5
10 Windfhur JP.Schloedorff G., Baburi D., Kremer B., Serious post-tonsillectomy haemorrhage with and without a lethal outcome in children and adolescents. Int J Pediatr Othorhinolaryngol. 2008 Jul; 72(7): 1029-40.
11 SIAARTI (Società Italiana Anestesia Analgesia Rianimazione e Terapia Intensiva): raccomandazioni Clinico-Organizzative per l’Anestesia in Day Surgery. Minerva Anestesiol.2000; 66:915-926
12 Sistema Nazionale per le Linee Guida: Appropriatezza e Sicurezza degli interventi di tonsillectomia e/o adenoidectomia. Istituto Superiore di Sanità, documento 15 marzo 2008 –www.snlg –iss.it
13 Esposito S., Marchisio P., Capaccio P., Bellasio M., Semino M., Dusi E., Colombo R., Pignataro L., Principi N., Risk factors for bacteriemia during and after adenoidectomy and/or adenotonsillectomy. J Infect. 2009; 58 (2):113-8
14 Tanaka J.,Kurosaki T., Kameyama Y., Mitsuda T., Ishiwada N., Kohno Y., Complications of adenotonsillectomy: a case report of meningitis due to dual infection with non-typeable Haemophilus influenza and Streptococcus peumoniae, and a prospective study of the rate of postoperative bacteriemia, Jpn J Antibiotic. 2013; 66(4):205-10
15 Wilson PF, Wannemuehler TJ, MattBH, Invasive group A Streptococcus resulting in sepsis and abdominal wall abscess after adenotonsillectomy. Laringoscope 2015 2015 May; 125(5):1230-2
16 Sia KJ, Tang IP, Kong CK. Nasriah A., Grisel's syndrome: a rare complication of tonsillectomy. J Laryngol Otol. 2012; 126(5):529-31
17 Spennato P., Nicosia G., Rapanà A., Cicala D., Donianni T., ScalaS., Aliberti F., Cinalli G., Grisel Syndrome following adenoidectomy: Surgical Management in a case with delayed diagnosis. World Neurosurg. 2015; 84(5):1494-7
18 Handa KK., Shunyu NB., Post-traumatic pseudoaneurysm of the lingual artery. Indian J Otolaryngol Head and Neck Surg. 2008;60(4):356-9
19 Van Nieuwenhove Y., Van den Branden P., van Tussenbroek F., Debing e., von Kemp K., Iatrogenic carotid artery pseudoaneurysm treated by an autologous vein-covered stent. Eur J Vasc Endovasc Surg.1998 Sep; 16(3): 262-5
20 Maini S., Osborne JE., Fadl HM. Et al, Temporomandibular joint dysfunction following tonsillectomy. Clin Otolaryngol Allied Scid 2002; 27:57-60
21 Haapanen ML., Ignatius j., Rihkanem h., et al., Velopharyngeal insufficiency following palatine tonsillectomy. Eur ArchOtorhinolaryngol. 1994: 251: 186-9

Downloads

Published

17-02-2020

How to Cite

1.
della Vecchia L, Passali FM, Coden E. Complications of adenotonsillectomy in pediatric age. Acta Biomed [Internet]. 2020 Feb. 17 [cited 2024 Jul. 18];91(1-S):48-53. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9256