This document summarizes a retrospective study of 474 adult patients who underwent tonsillectomy between 2001 and 2007. The study aimed to determine the common indications for adult tonsillectomy and identify factors associated with postoperative complications. The most common indication for surgery was chronic infection (57%), followed by upper airway obstruction (27%) and suspected tumors (16%). Postoperative complications occurred in 15% of cases and included bleeding, prolonged hospitalization, postoperative oxygen desaturation, and readmission for pain control. Chronic infection remained the leading indication for adult tonsillectomy compared to pediatric patients. Complication rates varied depending on the reason for surgery.

1. ADULTTONSILLECTOMY;
CURRENT INDICATIONS
AND OUTCOMES
Dr. vijay Kumar

2. INTRODUCTION

3. OBJECTIVE
• TO DETERMINE THE INDICATIONS FOR
ADULT TONSILLECTOMY
>TO DETERMINE FACTORS
ASSOCIATED WITH POSTOPERATIVE
COMPLICATIONS

4. MATERIALS AND METHODS
• RETROSPECTIVE STUDY
>474 PTS UNDERWENT
TONSILLECTOMY ;AT MEDICAL
COLLEGE GEORGIA ;FROM JAN 2001
TO OCT 2007;

5. EXCLUSION CRITERIA
>AGE LESS THAN 18 YRS AT THE TIME
OF SURGERY
>UNDERWENT CONCURRENT
PROCEDURE AT THE TIME OF
TONSILLECTOMY.
>OBSTRUCTIVE SLEEP APNEA

6. RESULTS
>INDICATION FOR TONSILLECTOMY
>chronic infection (57%)
>upper airway obstruction(27%)
>suspected tumor(16%)

7. POSTOPERATIVE
COMPLICATIONS
>OCCURRED IN 15% OF CASES
>BLEEDING
>PROLONGED HOSPITALISATION
>PORTOPERATIVE OXYGEN
DESATURATION
>READMISSION FOR PAIN
CONTROL

8. DISCUSSION

9. CONCLUSIONS
>CHRONIC INFECTION RENAINS THE
MOST COMMON INDICATION FOR
ADULT TONSILLECTOMY IN CONTRAST
TO PAED. POPULATION.
>COMPLICATION RATES VARY
ACCORDING TO INDICATION.