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FREQUENCY OF ADENOTONSILLECTOMY IN SOPIE NAIROBI HOSPITALS

H.O. OBURRA, M. IDENYA

Abstract


Objectives: To determine the frequency of adenotonsillec tomy in a sample of Kenyan
hospitals and to review indications, timing and complications i n97 cases of adenotonsillectomy
done by the authors.
Design: Retrospective, descriptive study.
Setting: Kenyatta National, Nairobi, Aga Khan, Gertrude ;~nd Mater Hospitals.
Results: Adenotonsillectomy is the most frequent otolal.yngologic surgical operation.
Indications for surgery were upper airway obstruction in 61.3%, recurrent tonsillitis in
28.7% and both in 7.5%. Surgery was indicated during tt.e acute stage in 6.8% of cases.
There was one case of post-operative acute airway obstructic~n. Post operative bleeding from
the tonsillar bed was encountered in 2.1 % of cases.
Conclusion: Adenotonsillectomy is the most common otolai~yngologic surgical operation in
our set-up. The low frequency of complications and a short hospital stay puts up a case for
routine adenotonsillectomy as a day surgery procedure.

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The East African Medical Journal is published monthly by Kenya Medical Association.

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