Nigerian Journal of Clinical Practice

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Indications for tonsillectomy and adenoidectomy: Our experience

AO Ahmed, I Aliyu, ES Kolo


Background: Infection and obstruction are the most common indications for performing tonsillectomy and adenoidectomy. In the past, infection was the main indication for these procedures; however, in the last few decades obstruction is said to be more prominent as an indication when compared to infection.
Objective: The objective of this study was to report our observations of indications for tonsillectomy and adenoidectomy.
Materials and Methods: This is a 2 year retrospective analysis of case records of patients aged 0‑18 years who have had tonsillectomy, adenoidectomy and adenotonsillectomy performed in a tertiary hospital. Statistical Analysis Used: IBM SPSS (for windows, version 19) software was used to analyze this data.
Results: A total of 115 patient’s records were reviewed. Moreover, 33.9% were children under 3 years, 60.0% were between 4 years and 10 years and 6.1% were between the ages of 11 years and 18 years. Obstruction accounted for a total of 68.7% while infection accounted for only 31.3% of the indication for these procedures.
Conclusion: Obstruction as an indication is proportionally higher in younger children while infection is proportionally higher in older children.

Key words: Adenoidectomy, indications, infection, obstruction, tonsillectomy
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