yemenjmedYemen Journal of MedicinecoVolume 3 Issue 1MultidisciplinaryEnglishJanuary-April 2024NNY20240511ArticleA review of unusual complications following adenotonsillar surgery in a tertiary care center: An experience with 10 casesEnglishY3642SanjayKumar1EnglishNArunPatra2EnglishYAnghusmanDutta3EnglishYKashiroygoudBiradar4EnglishY10.32677/yjm.v3i1.4407Background: Adenotonsillar surgery, a common surgical procedure, has been generally considered safe with minimal complications. The aim of this study was to investigate and elucidate uncommon complications observed post-adenotonsillar surgeries at a tertiary care center, aiming to enhance current clinical understanding. Methods: A retrospective analysis was conducted on 200 patients who underwent adenotonsillar surgeries from January 2020 to December 2021. Ten patients presenting with unusual postoperative complications were assessed. Data encompassing demographics, co-morbidities, presentation, diagnosis timeline, interventions, and management were collected. Results: Of the analyzed cohort, 5% (n=10) manifested unusual complications. Complications were evenly distributed across genders, with Velopharyngeal Insufficiency (VPI) marginally more prevalent in females. Down Syndrome was identified as a significant co-morbidity for Atlanto-axial Subluxation. Age was a determining factor for complications, with Atlanto-axial Subluxation more common in younger patients and Eagle's Syndrome in adults. Management varied from conservative to surgical interventions. Conclusion: Adenotonsillar surgeries, while routinely performed, can lead to unusual complications. Clinicians need to be observant post-operatively, ensuring comprehensive patient monitoring and communication. This case series contributes to the existing body of knowledge, promoting informed clinical decision-making.EnglishAdenotonsillar surgery, Atlantoaxial subluxation, Eagle’s syndrome, Post-operative complications, Tertiary care, Velopharyngeal insufficiencyhttps://yemenjmed.com/admin/abstract?id=96References1619Mitchell RB, Archer SM, Ishman SL, et al. Clinical Practice Guideline: Tonsillectomy in Children (Update). Otolaryngol Head Neck Surg. 2019 Feb;160(1_suppl):S1-S42.Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg. 2005 Feb;132(2):281-6.Sarny S, Ossimitz G, Habermann W, et al. Hemorrhage following tonsil surgery: a multicenter prospective study. Laryngoscope. 2011 Dec;121(12):2553-60.Bocciolini C, Dalland;#39;Olio D, Cunsolo E, et al. Griseland;#39;s syndrome: a rare complication following adenoidectomy. Acta Otorhinolaryngol Ital. 2005 Aug;25(4):245-9.Ysunza A, Pamplona C, Toledo E. Change in velopharyngeal valving after speech therapy in cleft palate patients. A videonasopharyngoscopic and multi-view videofluoroscopic study. Int J Pediatr Otorhinolaryngol. 1992 Jul;24(1):45-54.Soldatova L, Doty RL. Post-tonsillectomy taste dysfunction: Myth or reality? World J Otorhinolaryngol Head Neck Surg. 2018 Apr 3;4(1):77-83.Westreich R, Sampson I, Shaari CM, et al. Negative-pressure pulmonary edema after routine septorhinoplasty: discussion of pathophysiology, treatment, and prevention. Arch Facial Plast Surg. 2006 Jan-Feb;8(1):8-15.Aydin E, Quliyev H, Cinar C, et al. Eagle Syndrome Presenting with Neurological Symptoms. Turk Neurosurg. 2018;28(2):219-225.