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Anatomy of Pharynx

Question
12 out of 24
 

A 5-year-old patient is scheduled of for tonsillectomy. On the day of surgery he had running nose, temperature, 37.5°C and dry cough. Which of the following should be the most appropriate decision for surgery? (LQ)



A Surgery should be canceled

B Can proceed for surgery if chest is clear and there is no history of asthma

C Should get x-ray chest before proceeding for surgery

D Cancel surgery for 3 weeks and patient to be on antibiotic

Ans. D Cancel surgery for 3 weeks and patient to be on antibiotic

Ref. Dhingra 5th/ed p 274, 6th/ed p 259-260

There are no absolute contraindications to tonsillectomy. As such tonsillectomy is an elective operation and should not be undertaken in presence of respiratory tract infections or during the period of incubation of after contact with one of the infectious disease, if there is tonsillar inflammations. It is much safer to wait some 3 weeks after an acute inflammatory illness before operating because of the greatly increased risk of postoperative haemorrhage."

- Turner 7 Oth/ed pp 365,366

Tonsillectomy and Adenoidectomy

"Patient may present with upper respiratory tract infections. Surgery for these patients should be postponed until the infection is resolved. Usually 7-74 days. These patients may develop a laryngospasm with airway manipulation. This complication carries the potential for

significant morbidity and even mortality." - Current Otolaryngology 2nd/ed p 773

Anatomy of Pharynx Flashcard List

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