• Peter M Abou-Jaoude, John J Manoukian, Sam J Daniel, Richard Balys, Zahi Abou-Chacra, Marc-Elie Nader, Ted L Tewfik, and Melvin D Schloss.
• Department of Otolaryngology, McGill University, Montreal, Quebec.
• J Otolaryngol. 2006 Jun 1; 35 (3): 180-5.

ObjectiveTo document the most important postoperative adenotonsillectomy morbidities, with an emphasis on prolonged hospitalization and readmissions.DesignRetrospective chart analysis.MethodsWe reviewed 2067 cases of adenotonsillectomies performed at our institution over a period of 6 years.ResultsOf these cases, 1927 patients had undergone tonsillectomy by electrocautery and adenoidectomy by suction-coagulator, of whom 9.3% required admission. The incidence of admissions owing to bleeding was 1.7%, whereas admissions owing to respiratory and gastrointestinal complications represented 3.7% and 5.2%, respectively. Compared with the literature and our institution's previous results, these morbidity values were found to be either comparable or significantly lower (p < .05).ConclusionWe attribute this improvement to our use of electrocautery-based techniques not only for tonsillectomy but also for adenoidectomy.

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