The role of amoxicillin in preventing post-tonsillectomy complications
DOI:
https://doi.org/10.15218/zjms.2013.0003Keywords:
Tonsillectomy, post tonsillectomy bleeding, complications of tonsillectomy, antibiotics in tonsillectomyAbstract
Background and objective: Tonsillectomy is defined as the surgical excision of the palatine tonsils. This single blind prospective study of (200) patients underwent tonsillectomy in Al- Rizgary Teaching Hospital-Erbil- Iraq from February 2006 through June 2006.The main aim of this study is to evaluate the effect of post-tonsillectomy amoxicillin in preventing infection and secondary haemorrhage.
Methods: Our patient’s ages ranged from 2.5 years-55 years and were randomly divided postoperatively into two equal groups. The first group received amoxicillin antibiotic with analgesic paracetamol up to one week postoperatively. The second group received only paracetamol for one week. All tonsillectomy surgeries were done by cold knife dissection method.
Results: In the first group no one developed complications neither postoperative infection nor secondary hemorrhage , whereas in the second group who received only paracetamol, 4 patients (4%) had features of infections post operatively with another 2 patients (2%) developed secondary hemorrhage controlled conservatively.
Conclusion: The above results showed no significant effect of post-tonsillectomy antibiotic to prevent infection or delayed bleeding.
Metrics
References
Kenna MA, Amin A. Anatomy and physiology of the oral cavity. In: Snow JB, Wackym PA. Anatomyand physiology of the oral cavity in Ballinger's
otorhinolaryngology. 17th edition. Shelton: BC decker Inc; 2009:769-774.
Baugh RF, Archer SM,, Mitchell RB. Clinical Practice Guide: Tonsillectomy in Children. Otolaryngology-Head Neck Surg. 2011;144(1 suppl):S1-S30.
Paradise JL, Bluestone CD, Bachman RZ. Efficacy of tonsillectomy for recurrent throat infection in severely affected children: results of parallel randomized and nonrandomized clinical trials.N Engl J Med.1984;310:674-683.
Bull P.D. Tonsillectomy. Lecture Notes on Diseases of the Ear, Nose and Throat. Ninth edition. Blackwell Publishing .2002; 29:116-118
Paradise JL, Bluestone CD, Colborn DK. Tonsillectomy and adenotonsillectomy for recurrent throat infection in moderately affected children. Pediatrics. 2002;110:7-15.
Goldstein NA, Stewart MG, Witsell DL. Quality of life after tonsillectomy in children with recurrent tonsillitis. Otolaryngol Head Neck Surg. 2008;138:S9-S16.
William S Mckerrow and Ray Clarke. Tonsillectomy. In: Gleeson M. Scott-Brown's otorhinolaryngology, head and neck surgery. Volume 1. 7th edition. London: Hodder Arnold publications; 2008:1229-1239
Flanary VA. Long-term effect of adenotonsillectomy on quality of life in pediatric patients. Laryngoscope. 2003 Oct;113(10):1639-44.
Mitchell RB, Kelly J. Adenotonsillectomy for obstructive sleep apnea in obese children . Otolaryngol Head Neck Surg. 2004 Jul;131(1):104-8.
Hall MD and Brodsky L: The effect of post-operative diet on recovery in the first twelve hours after tonsillectomy and adenoidectomy, Int J Pediatr Otorhinolaryngol. 1995; 31:215,
Herzon FS. Harris P. Mosher Award thesis. Peritonsillar abscess: Incidence, current management practices, and a proposal for treatment guidelines, Laryngoscope 1995;105:1-17.
Tucker A. Peritonsillar abscess-A retrospective study of medical treatment. J Laryngol Otol 1982;96:639-43.
Dempster JH. Post-tonsillectomy analgesia: the use of benzocaine lozenges. J Laryngol Otol. 1988;102:813-814.
Cowan D.L and John Hibbert. Acute and chronic infection of the pharynx and tonsils In: John Hibbert. Scott-Brown's Otorhinolaryngology. volume1. 6th edition. London: Butterworth-Heinemann publications; 1997:5/4/17 to 5/4/22.
Lee WC, Duignan MC, Walsh RM , McCrae-Moore J R. An audit of prophylactic antibiotics treatment following tonsillectomy in children . Journal of Laryngology and Otology. 1996; 110 : 357-9.
O,Reilly B.J: Is the routine use of Antibiotics j
ustified in adult tonsillectomy? Journal of Laryngology and Otology 2003 May; 117:382-385.
Kramer SP, Pasha R. Otolaryngology: Head and Neck Surgery-A Clinical&Reference Guide, Second Edition. Plural Publishing. 2005; (ISBN 1-59756-023-5.)
Cullen KA, Hall MJ, Golosinskiy A. Ambulatory Surgery in the United States, 2006. National Health Statistics reports no. 11, revised. Hyattsville, MD: National Center for Health Statistics; 2009.
Maw AR .Tonsillectomy today. Arch Dis Child1986; 61:421–3.
Rosenfeld RM, Green RP. Tonsillectomy and adenoidectomy: changing trends. Ann Otol Rhinol Laryngol. 1990;99:187-191
Yardley M.P. Tonsillectomy, adenoidectomy and Adeno-tonsillectomy: are they safe day case procedures? J. aryngol. Otol.1992 April; 106:299-300.
Bennett AM, Clark AB, Bath AP, Montgomery PQ. Meta-analysis of the timing of haemorrhage after tonsillectomy: an important factor in determining the safety of performing tonsillectomy as a day case procedure. Clin Otolaryngol. 2005 Oct;30(5):418-23.
Walsh R. M: The Use of Antibiotics in the Hot Dissection Tonsillectomy. Arch Otolaryngology Head and Neck Surg, Jul 2000; 126: 837-841.
Colreavy MP, Nanan D, Benamer M, Dinnelly M, Blney AW, O’Dwyer TP et al. Antibiotic prophylaxis post tonsillectomy: Is it of benefit? International Journal of Pediatric Otorhinolaryngology.1999; 50: 15-22.
Iqbal Husain Udaipurwala: Use of Antibiotics in Tonsillectomy: is it really beneficial? Med channel September 2004; 10(3):17-20.
Stephen F. Conley, MD; Matthew D. Ellison, MD Avoidance of Primary Post-tonsillectomy Hemorrhage in a Teaching Program. Arch Otolaryngol Head Neck Surg. 1999;125:330-333.
Bhattacharyya, Neil: Evaluation of Post-tonsillectomy Bleeding in Adult population. Ear, Nose and Throat Journal date 8/1/2001.
Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2006;132:281-286.
Alasdair Robertson: Four Year Prospective Audit of Tonsillectomy Practice; SMJ 2004; 49(3):70.
Steven A. Telian, MD; Steven D. Handler, MD; Gary R. Fleisher, MD; et al. The Effect of Antibiotic Therapy on Recovery After Tonsillectomy in Children. A Controlled Study Arch Otolaryngol Head Neck Surg. 1986;112(6):610-615.
Alexander RJ, Kukreja R, Ford GR. Secondary post-tonsillectomy haemorrhage and informed consent. J Laryngol Otol. 2004 Dec;118(12):937-40.
Jochen P. Windfuhr, Yue-Shih Chen. Incidence of post-tonsillectomy hemorrhage in children and adults: a study of 4,848 patients. Ear, Nose & Throat Journal ,Sept, 2002.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2013 Hassan H. Ameen, Moyaser A. Yaseen (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Zanco J Med Sci is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).
