Unusual complications of tonsillectomy: a systematic review

Leong, Samuel; Karkos, Petros D.; Papouliakos, Sotirios; Apostolidou, Maria

doi:10.1016/j.amjoto.2006.10.016

Cited by 61 publications

(39 citation statements)

References 20 publications

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“…Eagle W et al reported that any styloid process longer than 25 mm could explain the symptoms. [1] Based on literature review, Eagle syndrome is usually aggravated by tonsillectomy or trauma;[23] however, to the best of our knowledge, this is the first report of Eagle syndrome provoked by acute parotitis. Steinman proposed 3 theories explaining etiologies of styloid ossification: Post-traumatic healing process, metaplastic changes involving a traumatic stimulus, and congenital elongation of styloid process.…”

Section: Discussionmentioning

confidence: 99%

Unveiling the hidden eagle: Acute parotitis-induced eagle syndrome

et al. 2014

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Context:A cervicofacial pain and foreign body sensation in pharynx associated with styloid process elongation is called Eagle syndrome. Typically, this syndrome is provoked by tonsillectomy or trauma. We report the first case of acute parotitis-induced Eagle syndrome.Case Report:A 65-year-old woman presented with right facial pain. CT scan of neck revealed asymmetric enhancement of the right parotid gland compatible with acute parotitis. All inflammation was resolved with antibiotics. However, the patient complained of pain in right mandibular region out of proportion to inflammation. Review CT found to have an asymmetrically long right styloid process measures. The diagnosis of acute parotitis-induced Eagle syndrome was established.Conclusion:Physicians should have a high index of suspicion for Eagle syndrome in patients with atypical neck pain and elongated styloid process since another significant manifestation of Eagle syndrome is carotid artery compression leading to recurrent syncope or stroke.

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Section: Discussionmentioning

confidence: 99%

Unveiling the hidden eagle: Acute parotitis-induced eagle syndrome

et al. 2014

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“…Other post-op complications include nausea, vomiting, dehydration, weight loss, low-grade fever, velopharyngeal insufficiency with swallowing and speech deficits, and pulmonary edema. Rare and atypical complications such as atlantoaxial subluxation (Grisel syndrome), vascular injury and thrombosis, and taste disorders have also been reported [12]. Boss et al suggested that the need for and use of tonsillectomy may vary by geography and sociodemographic characteristics [13].…”

Section: Introductionmentioning

confidence: 97%

Pediatric adenotonsillectomy and postoperative hemorrhage: Demographic and geographic variation in the US

Harounian

Schaefer

Schubart

et al. 2016

International Journal of Pediatric Otorhinolaryngology

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“…Other less common complications include dental trauma, odynophagia, otalgia, throat infection, nausea, and vomiting [4], and even rarer complications such as atlantoaxial subluxation and taste disorders have been identified [1]. The incidence of pneumonia and acute bronchitis after tonsillectomy is very low; however, respiratory infections are common in patients who are immunocompromised [1,5].…”

Section: Discussionmentioning

confidence: 98%

“…In contrast, pulmonary complications after tonsillectomy are uncommon and are easily misdiagnosed or inappropriately managed [1]. The occurrence of adenopathy in patients with myelodysplastic syndrome (MDS)-associated extramedullary myeloid cell tumors has rarely been reported, and only two cases have been reported in which the tonsils were involved [2,3].…”

Section: Introductionmentioning

confidence: 96%

Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma

Cheng

Ueng

et al. 2011

Int J Hematol

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Myeloid sarcoma in a patient with myelodysplastic syndrome (MDS) manifesting as a non-healing tonsillar ulcer is an extremely rare occurrence. We report the case of a 57-year-old male smoker with a non-healing tonsillar ulcer who underwent tonsillectomy to rule out tonsillar carcinoma after failed antibiotic therapy. On postoperative day 2, he presented with a temperature of 40°C and white blood cell count of 34700/μL. Antibiotic therapy was begun; however, he died 1 day later due to pulmonary infection and septic shock. Though extremely rare, tonsillar involvement of MDS should be considered in the differential diagnosis of a non-healing tonsillar lesion. When definitive diagnosis requires a tissue sample, punch biopsy may be preferable to tonsillectomy in a patient who may be immunocompromised, and appropriate prophylactic antibiotics should be administered.

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Unusual complications of tonsillectomy: a systematic review

Cited by 61 publications

References 20 publications

Unveiling the hidden eagle: Acute parotitis-induced eagle syndrome

Unveiling the hidden eagle: Acute parotitis-induced eagle syndrome

Pediatric adenotonsillectomy and postoperative hemorrhage: Demographic and geographic variation in the US

Post-tonsillectomy pulmonary complication in a patient with tonsillar myeloid sarcoma

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