Post-tonsillectomy Patients Research Articles

Comparative Analysis of Nebulized Versus Intravenous Fentanyl for Pain Control After Tonsillectomy: A Double-Blind, Randomized, Controlled Trial.

Effective posttonsillectomy analgesia is crucial for patient comfort and recovery. Fentanyl, notable for its potency, rapid action, and lipophilicity, has been successfully used in various procedures through multiple administration routes. However, the use of its nebulized form for posttonsillectomy pain has not been extensively explored. This study sought to compare the analgesic efficacy, onset time, and complications between nebulized and intravenous fentanyl in posttonsillectomy patients. In this randomized controlled trial, adult patients who underwent tonsillectomy were assigned to either an intravenous fentanyl group (1 mcg/kg) or a nebulized fentanyl group (4 mcg/kg). In both groups, fentanyl was administered when pain scores exceeded three. Pain levels were monitored every 5 minutes until they fell below four. The study also recorded the duration until the next analgesia request and noted complications (such as respiratory depression, bradycardia, chest tightness, drowsiness, nausea, pruritus, sweating, and flushing) within 24 hours. Patient exclusions were based on predetermined criteria. From an initial cohort of 59 patients, 22 in the intravenous group and 27 in the nebulizer group were eligible for analysis after applying the exclusion criteria. The nebulizer group exhibited a significantly prolonged period before the next analgesia request, with a median of 683.5 minutes (interquartile range 260-1440), in contrast to the 326.7 minutes (145.0-504.7) observed in the intravenous group (P = .009). The time to achieve a pain score less than 4 and the incidence of side effects did not differ significantly between the groups. Nebulized fentanyl provided a longer duration of analgesia than intravenous fentanyl in posttonsillectomy pain management, with similar onset times and side effect profiles. These findings underscore the potential of nebulized fentanyl as an effective alternative for pain control in posttonsillectomy patients.

Penatalaksanaan Kompres Dingin Terhadap Intensitas Nyeri Pada Asuhan Keperawatan Tonsilitis Kronis Dengan Tonsilektomi

Background: Tonsillectomy is defined as a surgical procedure to completely remove the tonsils, including their capsules by dissection of the peritonsillar space between the tonsil capsule and the muscular wall. Purpose: This scientific paper is to provide an overview of the Management of Cold Compresses on Pain Intensity in Nursing Care of Chronic Tonsillitis with Tonsillectomy. Methods: The design of this research is descriptive analytic with case study method. The non-pharmacological implementation of Post Tonsillectomy is the Administration of Cold Compresses to Pain Intensity carried out at Bhayangkara M.Hasan Hospital Palembang from 08 May 2023 to 10 May 2023 and 16 May 2023 to 19 May 2023. The subjects of this study were 2 post tonsillectomy patients. Results: After giving cold compresses for 3 days, both patients experienced a decrease in pain scale. Pain scale Mr 'T' before giving cold compresses pain scale 4 after giving cold compresses pain scale 0. Meanwhile, pain scale Nn 'S' before giving cold compresses pain scale 5 after giving cold compresses pain scale 1. Conclusion: After Cold Compress was given to Post Tonsillectomy patients for 3 days, both patients experienced a decrease in pain scale. The intervention was successful.
 

Postoperative Complications in Post-Tonsillectomy Patients Without Post-Operative Antibiotics

Postoperative Complications in Post-Tonsillectomy Patients Without Post-Operative Antibiotics

Tonsil microbiome in pediatric patients with post tonsillectomy hemorrhage for tonsillar hypertrophy

ObjectiveThis study aimed to compare the tonsillar microbiota between post tonsillectomy patients with bleeding and without bleeding, and to investigate the potential role of tonsillar microbiota in the development of post-tonsillectomy hemorrhage (PTH). MethodsNineteen tonsillar tissues from PTH patients and 21 tissues from control patients were collected. Metagenomic sequencing was used to compare the microbiota in PTH and control groups. Alpha diversity indices were used to compare the richness and evenness of the microbiota between the two groups. PCoA and NMDS analyses were used to evaluate beta diversity. LDA analysis was conducted to identify significantly abundant genera. ResultsNo significant difference in alpha diversity indices was found between PTH and control patients. The dominant bacteria in the tonsillar microbiota were Haemophilus, Streptococcus, and Fusobacterium. PCoA and NMDS analyses showed significant differences in beta diversity between PTH and control patients. PTH patients had a significantly higher relative abundance of Neisseria, Capnocytophaga, and Veillonella. Capnocytophaga was also identified as a significantly abundant genus by LDA analysis. ConclusionThis study demonstrates that there is a difference in the tonsillar microbiota between PTH and control patients. The results suggest that Neisseria, Capnocytophaga, and Veillonella may be associated with the development of PTH. These findings provide new insights into the potential role of the tonsillar microbiota in the development of PTH, and may help to develop new strategies for preventing and treating this potentially life-threatening complication.

Effect of Oral Prednisolone on Recovery after Tonsillectomy: A Quasi-Experimental Study

Background: Post-operative morbidities following tonsillectomy still remain a significant problem. Glucocorticoids might help to lessen these morbidities by decreasing inflammation at the sites of injury. The objective of this study was to assess the effect of oral prednisolone on recovery of patients after tonsillectomy. Methods: A quasi-experimental study was conducted from August 2015 to July 2016 among 70 patients aged four years or older scheduled for elective tonsillectomy by cold steel dissection method. The experimental group received a postoperative course of prednisolone 0.5 mg/ kg/ day over seven days whereas the control group received the standard of care only. Postoperatively, all participants were assessed for pain, type of diet and activity, presence of nausea and/ or vomiting and bleeding on 1st , 2nd , 3rd, 7th and 14th day, and healing process in the tonsillectomy bed measured through the use of endoscopic photograph on 7th and 14th day. Results: Significant reduction in pain was found in prednisolone group compared to the control group on 7 th day (mean score 1.41 and 2.51 respectively, p = 0.006) and on 14 th day (mean score 0.25 and 1.06 respectively, p = 0.005). Earlier return to normal diet was found on 7th day (p = 0.005) and 14th day (p = 0.02). No significant difference was found in rate of healing and other secondary outcomes. No adverse effects of prednisolone were noted. Conclusion: Use of oral prednisolone in post-tonsillectomy patients may offer significant benefits in relieving pain and earlier returning to normal diet without any serious adverse effects.

PAIN MANAGEMENT: EFFECT OF CHEWING EXERCISES IN POST TONSILLECTOMY PATIENTS

Objective: To assess the effect of chewing in addition to pharmacological management of post-tonsillectomy pain and return to the normal diet. Methodology: To determine the impact of chewing gum on post-operative pain, a 12-month comparative cross-sectional study was carried out on 87 post-tonsillectomy patients at the Pakistan Institute of Medical Scienc­es (PIMS) Islamabad. Two groups of patients having elective tonsillectomy were created: Group A (chewing gum) and Group B. (routine care). Following surgery, patients were monitored to assess postoperative pain using a Visual Analogue Scale (VAS) from day 1 to day 7 and resume their regular diet. Results: Out of 87 patients, 49 (56.3%) belonged to group A, and 38 (43.7%) belonged to group B. Mean age of the participants was 23.8±5.2 years. The total number of male and female participants was 56 (64.4%) and 31 (35.6%) respectively. There was significantly lesser pain experienced by patients in group A as compared to group B from day 2 through day 5 (p<0.001), whereas there were no statistically significant differences observed between the two groups on the 1st,6th and 7th post-operative days in terms of post-op pain (p=0.589, 0.516, 0.376). In terms of resuming a normal diet, there was no statistically significant difference between the two groups. (p= 0.456). Conclusion: Postoperative use of chewing exercises significantly decreases pain in the immediate post-ton­sillectomy period and is recommended for use as a non-pharmacological adjunct for post-tonsillectomy pain management.

Telehealth as an effective method of follow-up for pediatric post tonsillectomy patients

PurposeTo determine if pediatric patients can be safely and effectively managed postoperatively with nurse led telehealth communication. MethodsThis is a retrospective case series conducted at a tertiary academic medical center pediatric otolaryngology practice. Retrospective chart review was conducted on patients <18 years old who underwent tonsillectomy from January 2017 to December 2019. Patients were managed postoperatively with a telehealth communication on postoperative day (POD) 3–5 and again at 4–6 weeks. Patient demographics, satisfaction with follow-up, number of office visits, and postoperative complications were recorded. Results829 tonsillectomy patients were identified. Average patient age was 5.7 years (range 10 months-16 years). Successful contact was made with the patient's caregiver on POD 3–5 for 511 patients. 322 patients successfully completed 4–6 weeks telehealth follow-up. 292 patients (91 %) reported improvement in pre-operative symptoms at 4–6 weeks. Overall, 98 % of patients who completed telehealth follow-up were satisfied with this method and did not desire an additional office appointment. 62 patients (21 %) participated in an office follow-up in 2017, 54 patients in 2018 (19 %), and 36 patients (14 %) in 2019. Only 61 of these visits were routinely scheduled postoperative tonsillectomy office visits. 53 patients (6 %) had a postoperative tonsillectomy bleed and 31 patients (4 %) required return to the operating room for cauterization. ConclusionTelehealth is successful in reducing the number of post-tonsillectomy office visits for pediatric patients without a subsequent increase in complications. Reduction in office visits can lead to cost reduction and increased availability of pediatric otolaryngology appointments.

Anesthetic injections and analgesia use in pediatric post-tonsillectomy patients: A meta-analysis and systematic review

ObjectiveTo assess the effect of local anesthetic injection on post-operative analgesia and complications for pediatric tonsillectomies on post-operative day (POD) 0 and 1. MethodsA 2-researcher team following the PRISMA guidelines performed a systematic review and meta-analysis. The databases Pubmed.gov, Embase, Web of Science, and Scopus were used. Studies written with original data utilizing a saline injection control arm were selected. Corresponding authors were contacted for missing data, which was used when possible. The collated data was analyzed with Review Manager (RevMan) Version 5.4., The Cochrane Collaboration, 2020. Surgical technique subgroup analysis was performed. Results319 publications were identified and 8 articles with 12 total experimental arms (529 participants) were selected. Local anesthetic injection was compared to saline injection. The standard mean difference for time until first analgesic was 0.68 min [0.26, 1.09](P = 0.001) in favor of local anesthetic. The odds ratio (OR) for patients receiving one or more narcotic doses on POD 0 was 0.22 [0.06, 0.84](P = 0.03) in favor of local anesthetic. ConclusionsUse of an intraoperative anesthetic injection during pediatric tonsillectomy can help improve initial recovery as it delays the need for narcotic medication and may reduce postoperative narcotic usage on POD 0 and 1. In addition, a local anesthetic does not increase the risk of postoperative bleeding or dehydration.

To Give or Not to Give? Prescribing Antibiotics to the Tonsillectomy Patients in a Tertiary Care Setting.

IntroductionAdeno-tonsillectomy is one of the most common procedures performed worldwide in pediatric age group. Antibiotics use after tonsillectomy is like any other surgical procedure; and it is thought that the antibiotic use may help to reduce post-operative morbidity. Giving antibiotics in tonsillectomy patients is a common practice for decades but recently there has been a paradigm shift towards not using the antibiotics, especially in the pediatric population.MethodsA prospective study was done on a cohort of 123 patients and they were divided into two groups on the basis of choice to receive or not to receive antibiotics after tonsillectomy, and these patients were followed in post-operative period to see any differences in the rate of complications.ResultsNo significant statistical correlation was found between age, gender or post-operative visits and post-operative complications in between the two groups. Half of the patients received antibiotics; however, the use of antibiotics did not show a significant decrease in post-operative complications.ConclusionRegular use of antibiotics in post-tonsillectomy patients should not be advised as the use of antibiotics do not prevent or reduce post-operative complications in tonsillectomy patients.

Evaluation of Erythrocyte Sedimentation Rate, C Reactive Protein and Ante-Streptolysin O Titer Regarding Tonsillectomy Indication and their Postoperative Changes

Objective: To evaluate the serum erythrocyte sedimentation rate, C reactive protein and antistreptolysin O titer as indicators for tonsillectomy with assessment of their postoperative changes.Patients and Methods: Our prospective comparative study was carried out on 150 patients divided into two groups. Group I included 75 patients clinically diagnosed as chronic tonsillitis by symptoms and signs and group II included 75 patients with previous tonsillectomy as a control group. Both groups were compared regarding the levels of the three laboratory markers. Also, the preoperative values of these markers were compared with postoperative values at 1, 3 and 6 months.Results: The values of the three markers in group I were higher than values in group II but statistically insignificant (p = 0.13, 0.11 and 0.78 respectively). There was a highly significant decrease in postoperative results of erythrocyte sedimentation rate, C reactive protein in group I at 1, 3 and 6 months after tonsillectomy (p value < 0.0001 for all). There was a significant decrease in postoperative results of antistreptolysin O titer in group I at 1, 3 and 6 months after tonsillectomy (p= 0.008, 0.019, 0.001 respectively).Conclusion: Erythrocyte Sedimentation Rate, C Reactive Protein and antistreptolysin O Titer should not be considered as indicators for tonsillectomy in chronic tonsillitis patients by having a non-significant difference when compared with post tonsillectomy patients. Being inflammatory markers, the values of these markers showed a significant decrease after tonsillectomy due to removal of the septic focus of chronic tonsillitis

Platelet function testing in patients with post-operative tonsillectomy bleeding may be a useful early identifier of inherited platelet function disorders.

Post-tonsillectomy bleeding is the most frequent complication of tonsillectomy. Inherited platelet function disorders have an estimated prevalence of 1 per cent. Any association between post-tonsillectomy bleeds and undiagnosed inherited platelet function disorders has not been investigated before. To assess the prevalence of inherited platelet function disorders in a cohort of post-tonsillectomy bleed patients. An observational cohort study was conducted using hospital digital records. Platelet function analyser 100 ('PFA-100') closure time was tested on post-tonsillectomy bleed patients who presented to hospital. Between 2013 and 2017, 9 of 91 post-tonsillectomy bleed patients who underwent platelet function analyser 100 testing (9.89 per cent) had positive results. Five patients (5.49 per cent) had undiagnosed inherited platelet function disorders. Four patients had false positive results secondary to a non-steroidal anti-inflammatory drug effect (specificity of 95.3 per cent) proven by repeat testing six weeks later, off medication. The false negative rate was 0 per cent. The prevalence of inherited platelet function disorders in our post-tonsillectomy bleed cohort is five-fold higher than in the general population. Platelet function analyser 100 testing when patients present with a post-tonsillectomy bleed allows management of their inherited platelet function disorder.

Post-Tonsillectomy Taste Disturbance; An Unusual Complication of Tonsillectomy

Tonsillectomy is a very common operation to the otolaryngologist and relatively safe in expert hand. Sometimes it bothers the surgeon for its acute and chronic post-operative complications like reactionary hemorrhage, throat pain, referred otalgia, dehydration, velopharyngeal incmpetnce, burns of uvula, soft-tissue injury, dento-mandibular trauma, and respiratory compromise. Although rare, it is often associated with altered taste and temporary or long continued loss of taste sensation. In this article, the authors reported 39 (3.9%) cases of disturbance of taste sensation among 1000 post-tonsillectomy patients during the period 2015 to 2018 in the Bangladesh medical College Hospital. Age of the patents was ranged in between 20 to 30 year. The study was aimed to find out the possible cause of taste disturbance in the post-tonsillectomy patients and obtain informed written consent prior to tonsillectomy

Advantage of Application of Topical Hyaluronic Acid in Reducing Post Tonsillectomy Pain; Cross Sectional Comparative Study

Introduction: Tonsillectomy is common surgical operation performed in otolaryngology department. Various techniques could be used that include traditional cold dissection, powered instrumentation like electro cautery, harmonic scalpel, laser, and radiofrequency technique. As with any surgery, there are some risks can occur with tonsillectomy, these includes bleeding, pain at the site of surgery and/or referred otalgia, and infection. The aim of our study was to assess the postoperative use of topical hyaluronic acid with regards to safety, pain relief. Method: The research was considered a cross-sectional research made on 60 patients needing tonsillectomy from a period began from January to September 2018. The patients had been separated into two groups both from 30 patients, one group (group A) treated by using high molecular weight(HMW) Hyaluronic acid spray on tonsillar beds after operations , and the second group(group B) dealt as control. Early complications were registered in questionnaires and then the data were evaluated for each group. Results: The use of high molecular weight (HMW) Hyaluronic acid spray on tonsillar beds after surgery has reduces the pain significantly after 3 – 7 days (p-value = 0.0001) while has no implication on pain reduction within12 - 24 hours p-value (0.17 and 0.3) respectively . Conclusion: The use of (HMW) hyaluronic acid spray can be used safely in post tonsillectomy patients. Hyaluronic acid spray can minimize post tonsillectomy pain.

Variables associated with pediatric emergency department visits for uncontrolled pain in postoperative adenotonsillectomy patients

ObjectiveReturns to the emergency department (ED) for pain or dehydration after adenotonsillectomy (T&A) are frequent. Attempts to associate the specific pain regimens with these visits have been unrevealing, suggesting a need to assess for other potential factors associated with readmission. MethodsA review of a 2:1 cohort matched by age, gender and payer status compared post-T&A patients who did not return ED for pain or dehydration within 21 days to those who returned. Factors investigated included patient demographics, comorbidities, medication regimen and the presence of postoperative telephone encounters. Patients returning to the ED were further assessed for rates of medication adherence. Results7493 patients underwent T&A during the period. Of these, 144 (1.9%) returned for pain/dehydration. Comparison to 285 matched patients revealed an association between ED returns and Hispanic ethnicity (p < 0.001), Spanish language (p = 0.0002), and comorbid Down syndrome and ADHD (p = 0.011 in both). The incidence of parent telephone calls to the office was associated with ED returns (58.7 in the ED cohort, 28.4% in non-ED cohort, p < 0.0001). On multivariable analysis, Hispanic ethnicity and phone calls were associated with ED returns (p < 0.0001 and p < 0.0001, respectively). Only 64.0% of patients returning to the ED were adherent with postoperative pain regimens. ConclusionsWhile demographic factors may be associated with rate of ED returns for pain and dehydration, post-operative phone calls were most highly associated with returns. The majority of patients returning to the ED were non-adherent with recommended pain regimens, suggesting an opportunity to investigate medication adherence in all post-tonsillectomy patients.

Efficacy of Sucralfate in Alleviating Pain And Morbidity in Post-Tonsillectomy Patients- A Randomized Control Trial

Efficacy of Sucralfate in Alleviating Pain And Morbidity in Post-Tonsillectomy Patients- A Randomized Control Trial

Ancillary Medications and Outcomes in Post-Tonsillectomy Patients

To investigate the impact of medications on outcomes after tonsillectomy, a retrospective review using the MarketScan database was performed. A total of 306,536 privately insured children and adolescents (1 to 17 years old) who underwent tonsillectomy/adenoidectomy were identified from 2008 to 2012. Pharmaceutical claims identified patients who received outpatient prescriptions for ibuprofen, steroids, or topical anesthetics until discharge and for medications for the treatment of attention deficit hyperactivity disorder (ADHD) or montelukast up to 14 days postoperatively. Logistic regression compared prescription claims to outcomes, including postoperative bleeding, dehydration, emergency department visits, and readmissions. Ibuprofen was the only medication associated with increased odds of postoperative bleeding (odds ratio [OR]: 1.45, 95% confidence interval [CI]: 1.07 to 1.95). Patients receiving steroids had lower odds of dehydration (OR: 0.74, 95% CI: 0.65 to 0.84) and emergency department visits (OR: 0.82, 95% CI: 0.76 to 0.88). Odds of dehydration were highest in patients taking ADHD medications (OR: 1.38, 95% CI: 1.15 to 1.66) and topical anesthetics (OR: 1.32, 95% CI: 1.10 to 1.59). Although causality cannot be assumed in observational studies, steroids and ibuprofen should be used judiciously.

Acoustic analysis of voice in post-tonsillectomy patients

Introduction: Tonsillectomy is a common surgical procedure performed in otolaryngology setting worldwide. It is a procedure to remove the palatine tonsils, which are one of the major structures in the oropharynx which constitute part of the vocal tract. The study aimed to determine acoustic changes in post-tonsillectomy patients.Methodology: Voice sampling was collected using Praat software before and after operation, which was one day before operation and within 2-3 weeks after the operation respectively. Acoustic parameters including fundamental frequency, jitter, shimmer, harmonic to noise ratio and first formant frequency were analyzed by using paired t-test.Results: A total of 27 participants that underwent tonsillectomy or adenotonsillectomy were involved in this study. The age range of participants was 3-56 years old. The mean age of study was 18.57. There was no significant difference for all the acoustic parameters between pretonsillectomy and post tonsillectomy. However, there were noticeable voice changes through auditory as perceived by participants or caregiver.Conclusion: Although patient and care givers do notice a significant voice changes, but objectively this finding is not reveals during objective voice assessment.Bangladesh Journal of Medical Science Vol.17(3) 2018 p.382-387

Analgesic Effects of Pre-induction Low-dose Ketamine on Post-tonsillectomy Patients

Background: Post-operative pain management aims to decrease pain intensity with patient comfort and to improve post-operative outcome. Multimodal analgesia is currently recommended for effective post-operative pain control with lower total doses of analgesics and fewer side effects.Objective: To compare the analgesic effect of pre-induction low-dose ketamine against conventional general anaesthesia.Materials and Methods: This prospective comparative study was conducted over a period of 12 months at Combined Military Hospital, Dhaka. Two hundred and forty patients of either sex requiring tonsillectomy were divided into two groups: conventional general anaesthesia (control group) and general anaesthesia with low-dose ketamine (ketamine group). Non-invasive blood pressure, heart rate and SpO2 were recorded at regular intervals throughout the anaesthetic period. Post-operative analgesia was provided for both the groups using pethidine intramuscularly. Time to complete operation, pain intensity, time to request for first analgesia were noted and total opioid consumption and complications, if any occurred in 24 hours post-operatively, were also recorded and addressed accordingly.Results: The demographic data and mean operation time were similar in both the groups (p&gt;0.05).Time to request for first analgesia was longer in lowdose ketamine group (mean ± SD 5.36±3.21 hours) than in control group (mean ± SD 2.49±1.53 hours) (p&lt;0.05). Total dosage of pethidine consumption over 24 hours period was less in ketamine group with satisfactory pain relief (mean ± SD 98.73±2.60 mg) than in control group (mean ± SD 142.52±3.48 mg) (p&lt;0.05). Post-operative complications were also less in ketamine group than control group (p&lt;0.05).Conclusion: The result of this study suggests that pre-induction low-dose ketamine has pre-emptive analgesic effect and reduces overall post-operative opioid requirements.J Enam Med Col 2018; 8(2): 74-79

Trends in the management of secondary post-tonsillectomy hemorrhage in children

ObjectiveTo define current practices in management of secondary post-tonsillectomy hemorrhage (PTH) in children by pediatric and general otolaryngologists. IntroductionBleeding after tonsillectomy is common. Our goal was to describe management methods across the U.S. MethodsQuestions regarding perioperative management and treatment in response to three hypothetical cases featuring secondary post-tonsillectomy bleeding were posed via REDCap survey. Comparisons were made for pediatric otolaryngology fellowship training, regions of residency training and current practice, practice type, and number of years in practice. ResultsA total of 400 surveys were distributed with 104 responses. Fellowship-trained respondents were more likely to have been in practice for less than ten years (41.5% versus 17.8%) and to practice in an academic setting (67.3% versus 13.6%). They were less likely to prescribe antibiotics after tonsillectomy and more likely to prescribe acetaminophen (98.3% versus 80.4%), ibuprofen (79.3% versus 56.5%), and narcotics (74.1% versus 50.0%) compared to general otolaryngologists. When faced with a post-tonsillectomy patient with visible clot but no active bleeding, pediatric otolaryngologists were less likely to remove the clot (31.6% versus 54.3%) and more likely to proceed to the OR (75.9% versus 56.5%) and admit the patient (87.9% versus 68.9%). Few regional differences were encountered; however, factors influencing the decision to pursue operative intervention varied by region. ConclusionPediatric otolaryngologists are more likely to follow American Academy of Otolaryngology guidelines for tonsillectomy perioperative management. They also manage patients with secondary PTH differently than general otolaryngologists. Management trends are similar by region but salient factors considered in the decision-making process vary.

Prospective controlled study on post-tonsillectomy weight gain-by objective and subjective methods

Objectives: This article reports on a prospective controlled study that challenges the aspect of weight gain in post-tonsillectomy patients in both an objective and subjective manner. This study found that although there is increased oral intake in post-tonsillectomy patients there is also an increase in physical activity.Design: Prospective case controlled studyParticipants: A total of 100 patients between the ages of 2 and 14 years who underwent tonsillectomy were randomly selected, but 53 of them came for regular follow-up and were monitored for their growth by measuring their height and weight for 1-year post- tonsillectomy. The postoperative body mass index (BMI) Z score variation over three different time points was compared to controls. Questionnaires were used as a subjective method for analysis.Results: Statistical analysis failed to show significant weight gain in post-tonsillectomy patients compared to control group at 3 months, 6 months, and 1 year. Results of questionnaires were analyzed and showed that patients who confirmed an increase in oral intake and sleep also confirmed an increase in the level of physical activity.