Studying the effect of using antibiotics on the incidence of post-tonsillectomy morbidity

Document Type : Original Article

Authors

Otorhinolaryngology Department ,Faculty of Medicine ,Assuit University ,Egypt

Abstract

Abstract:
Background: Post-tonsillectomy operation, the oropharyngeal bacteria colonized the exposed tonsillar fossa, which can cause a heavy localized inflammation, pain exacerbation, and delayed healing. Which will lead to tonsillar bed contamination and raise the risk of complications. Here, we assessed the effect of antibiotics to decrease the frequency of postoperative morbidity.
Patients& methods: This study included 200 children who were listed for tonsillectomy were enrolled in the study. Based on techniques of tonsillectomy; they were divided into two groups; group A bipolar diathermy technique (BDT) and group B cold dissection technique (CDT), Each group was subdivided into two identical subgroups either receiving postoperative antibiotics or not. These groups and subgroups were postoperatively followed for different morbidity and complications.
Results: Regarding baseline data no significant differences were found between all groups. Subgrouping the studies on patients based on postoperative antibiotic use, we found that usage of antibiotics didn’t greatly affect postoperative morbidity in the form of hemorrhage, nausea/vomiting, pain, and return to a normal diet.
Conclusion: From this study, we can evaluate the outcome of using antibiotics in the incidence of morbidity and complications following tonsillectomy. Post-operative use of antibiotics didn’t greatly affect the morbidity and complications. Future multicenter studies are warranted to validate the benefits of post-operative antibiotic use following tonsillectomy.

Keywords

Egyptian Journal of Neck Surgery and Otorhinolaryngology
Volume 9, Issue 2
August 2023
Pages 17-25

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