Abstract

Background: Removal of the palatine tonsils is a frequently performed operation in patients with chronic tonsillitis. The proportion of tonsillectomy in otorhinolaryngological practice is up to 10% or more of all surgical interventions. Objective: This study aims to analyze Tonsillectomy and the study of general complications in addition to the assessment of bleeding and quality of life for patients in Iraq. Patients and method: This study was conducted by making a cross-sectional study of patients with tonsillectomy, where this study focused on the analysis of Tonsillectomy and the study of general complications in addition to the assessment of bleeding and quality of life for patients in Iraq. This study was applied to patients between the ages of younger than 20 to older than 35 years of age, for both sexes, male and female, in different hospitals in Iraq for a study that ranged from the 7^th of July 2021 to the 14^th of April 2022. This study examined and analyzed all the data collected through the use of the program SPSS. The study data were divided into two groups, where the first group represented Bleeder patients, which included 72 patients, and the second group included non-bleeder patients, which included 64 patients. Discussion: Although tonsillectomy is a very common surgical procedure in otolaryngology practice, many efforts have been made to reduce its associated morbidity and mortality, especially in relation to post-tonsillectomy hemorrhage; because this analysis was retrospective in nature, we did not include potential intraoperative risk factors for post-tonsillectomy hemorrhages, such as the presence of fibrosis and the volume of intraoperative bleeding, because these data were inconsistently accessible in the operating reports. The risk of post-tonsillectomy bleeding was considerably higher among individuals having a history of chronic tonsillitis, older patients, major intraoperative blood loss, and postoperative hypertension. Conclusion: Post-tonsillectomy bleeding is a significant consequence that frequently necessitates intraoperative hemorrhage management and may necessitate blood transfusions, especially in individuals with a history of chronic tonsillitis. Age, Hematocrit, Diabetes, and Hypertension were shown in our study to be risk factors for post-tonsillectomy bleeding in the group of patients who bled, which led to a decline in the patient’s assessments of their quality of life. The risk of post-tonsillectomy bleeding was considerably higher among individuals having a history of chronic tonsillitis, older patients, major intraoperative blood loss, and postoperative hypertension

Keywords

Tonsillitis; BMI; type of Hemorrhage; Comorbidities; and Adenotonsillectomy surgery