Tonsillectomy | Purpose, Contraindications, Procedure, Recovery and Complications

Postoperative recovery

Postoperative pain control is usually achieved by oral acetaminophen or ibuprofen. Children who refuse to take medications postoperatively are at a significant risk to develop side effects such as dehydration, weight loss, and increase the risk of local infection.

A study by Sutters et al.to evaluate the effect of scheduled acetaminophen postoperative administration to control pain, in comparison to pain medication administration only when needed in children from six-year-old to fifteen-year-old after tonsillectomy. They founded that, patients on a scheduled pain medications had received more analgesia in comparison to other group but have less pain intensity in comparison to pain medication when needed.

A good post operative patient hydration is a key for safe and a speedy recovery. The patient should be kept on balanced nutritious diet with good hydration. Although there is no suggestive data to prefer a specific food for postoperative recovery time but eating soft foods in the first few days is recommended.

Systemic antibiotic in the first few days postoperatively is associated with less incidence of infection and with a good post-operative outcome. A controlled study by Telian et al. to evaluate the effect of antibiotic therapy on post tonsillectomy recovery period in pediatrics. They founded that antibiotic administration was associated with reduction of fever and some postoperative complaints such as pain, decrease appetite, and bad mouth odor.

Another study by Colreavy et al.to evaluate the benefit of post-tonsillectomy antibiotic for prophylaxis. They founded that; a prophylactic antibiotics prescription was associated with decrease in the post-tonsillectomy comorbidities.