Identifying Risk Factors for Patients Who Underwent Tonsil Surgery in Iraq and Evaluating General Complications


Background: Tonsillectomy is one of the most common surgical procedures in ENT medicine. There are many complications that can occur after tonsillectomy, although pain and bleeding are the most common. Objective: This study aimed to assess the clinical outcomes of Iraqi patients who underwent tonsil surgery and determine the common risk factors as well as general complications that affect patients. Patients and methods: A cross-sectional study was conducted on 75 patients who underwent tonsillectomy surgery in different hospitals in Iraq. The data collected included demographic parameters, diagnostic data, and patient information. The data set included information on individual patients with benign or malignant diseases. The perioperative form included information about the surgeon, age, sex, indication, procedure, and method. The clinical operation was divided into two procedures: cold (using steel instruments) and hot (using electrosurgical instruments). Patients who had tonsils diagnosed underwent a checkup using the Centaur Score scale, pain ratings using a numeric rating scale, and satisfaction with life using a scale from 0 to 100. The study aimed to understand the extent of symptoms and pain in patients following tonsillectomy. Results: Our study enrolled clinical and surgical data of patients who underwent to tonsillectomy surgery; most indicators of prevalence on the patients were difficulty swallowing included 20 cases, sore throat included 14 cases, and bad breath included 9 cases; types of tonsillitis were classified in into acute tonsillitis got 11 cases, chronic tonsillitis got 19 cases, recurrent tonsillitis got 27 cases, and peritonsillar abscess got 18 cases, type of surgery included tonsillectomy had 33 cases, tonsillectomy with adenoidectomy had 12 cases, tonsillotomy had 3 cases, tonsillotomy with adenoidectomy had 3 cases, surgical technique identified in hot with 68 cases, and cold 7 cases, duration of surgery was 54. 78 ± 6.20 min, blood loss was 10.14 ± 2.01 mL, rate of complication was 11 cases, the most common factors were infection with 4 cases and difficulty in swallowing with 3 cases, main aspects of quality of life where physical aspect was 74.20 ± 5.71 and social aspect was 78.23 ± 2.77. Conclusion: Tonsillectomy is a surgical procedure to remove the tonsils at the back of the throat, aiming to manage persistent inflammation and improve patient quality of life. This procedure can reduce pain and discomfort associated with tonsillitis, resulting in shorter hospital stays compared to non-surgical methods. This reduces total health expenditure for individuals and society as a whole