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Fırat Tıp Dergisi
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Review of Our Tonsillectomy Indications
Orkun EROĞLU1, Erol KELEŞ2, Turgut KARLIDAĞ2, İrfan KAYGUSUZ2, Cihan TÜRKER2, Şinasi YALÇIN2
1SBÜ Elazığ Eğitim ve Araştırma Hastanesi, Kulak Burun ve Boğaz Hastalıkları Kliniği, Elazığ, Türkiye
2Fırat Üniversitesi Tıp Fakültesi, Kulak Burun ve Boğaz Hastalıkları Anabilim Dalı, Elazığ, Türkiye

Objective: There is not a consensus in the literature regarding indications, efficacy, quality of life and postoperative complications of tonsillectomy surgery, which is one of the most common operations performed by otorhinolaryngologists. The data of the patients who underwent tonsillectomy operation in our clinic were retrospectively reviewed.

Material and Method: Archival materials of 1433 patients who underwent tonsillectomy and/or adenotonsillectomy operations at Fırat University Department of Otorhinolaryngology between April 2004 and January 2017 were analyzed retrospectively in terms of age, sex, indications, histopatho-logic diagnosis and postoperative complications.

Results: Of the 1433 patients who underwent tonsillectomy, 965 (67.3%) were below 18 years of age and average age of them was 9.7 and 468 (32.6%) were >18 years and mean age was 32.5. 198 patients (13.8%) were operated due to hypertrophic tonsil causing airway obstruction findings. Of the 648 patients (45.2%) who were operated for chronic and / or recurrent infections, 550 (38.3%) patients had hypertrophic tonsils causing airway obstruction and also had chronically and / or recurrent infections. Twenty-seven (1.8%) patients were operated due to suspicion of tonsil malignancy. The number of patients selected for other reasons was 11 (0.7%).

Conclusion: In our study, tonsillectomy was the first indication due to chronic and / or recurrent infection. The most frequent indication for tonsillec-tomy indication due to chronic and/or recurrent infection is the question of the reliability of patient selection. We recommend that the follow-up of the patient and the documentation should be done carefully in order to make a decision about a healthier operation.


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