Abstract

MARRUGO-PARDO, Gilberto Eduardo; VELOSA-BUITRAGO, Diana  and  ROJAS-SERRANO, María Laura. Tonsillectomy experience in the Foundation "Hospital de la Misericordia Bogota" during the past ten years. rev.fac.med. [online]. 2009, vol.57, n.4, pp.316-325. ISSN 0120-0011.

Background. Tonsillectomy is a common procedure in Pediatric Otorhinolaryngology. This procedure is indicated for hypertrophied tonsils that causes airway obstruction, recurrent acute bacterial tonsillitis, asymmetric tonsils and peritonsillar abscess. It is an effective procedure and with little morbimorbidity. The most common complications are pain, bleeding, delay oral intake and velopharyngeal insufficiency. Objetive. To revise the experience during the last 10 years of tonsillectomy in Fundacion Hospital de La Misericordia. Materials and methods. Retrospective study, serie of cases, includes all patients who had tonsillectomy from May 2000 to February of 2009 in Fundacion Hospital de La Misericordia. The results were analyzed with the program SPSS16.0. Results. 149 patients were included in the analysis. Tonsillectomy was indicated for hypertrophied tonsils that causes airway obstruction in 45 percent of patients, recurrent tonsillitis and hypetrophied tonsils in 27,5 percent, recurrent tonsillitis in 11,4 percent, and asymmetric tonsils 6,7 percent. The technique performed in all patients was extracapsular tonsillectomy, using monopolar electrocautery in 97 percent and cold knife in 3 percent. The most common complications were pain in 41 percent, followed by otalgy 12,7 percent and bleeding 4 percent of the patients. The histological examination reported in most of them reactive follicular hyperplasia, except a case of Burkitt lymphoma whose indication was significant tonsillar asymmetry. Clinical improvement was seen in 96 percent of the patients. Conclusions. Tonsillectomy is a cost-effective and safe procedure. Under certain indications referred in this paper, tonsillectomy improves quality of life and good clinical course

Keywords : tonsillectomy; hypertrophy; peritonsillar abscess; velopharyngeal insufficiency.

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