INTERVAL TONSILLECTOMIES

Abstract

Introduction: Peritonsillar abscess is a common clinical problem faced byotorhinolaryngologist all over the world. There are different schools of thoughts regardingtonsillectomy after peritonsillar abscess due to its expected complications. This comparativestudy 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 anddelayed interval tonsillectomy after peritonsillar abscess. Design: This was randomized controltrial. 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, thoroughexamination, relevant investigations and informed written consent peritonsillar abscess wasdrained and then interval tonsillectomy was performed. The complications were noted onpredesigned proforma. Chi square test was used to compare the complications in both thegroups while keeping P < 0.05 as significant. Results: Out of 60 patients males were 38 andfemales were 22 with male to female ratio of 1.31:1. Average age was 24.7 years + 7.63 SDwith a range of 13-45 year in Group-A, while Group B has average age of 23.97 year + 7.07 SDwith a range of 13-46 years. Findings of per-operative and post operative hemorrhage showedthat there was insignificant difference in both the groups (P=0.601). However pain and hospitalstay 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 peritonsillarabscess.