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Discuss the complications of adeno tonsillectomy in detail for 50 marks with diagram and flow charts from Scott Brown, Cummings, stell and marans, Zakir Hussain, dhingra, hazarika and related articles with recent advances according to rguhs university

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tonsillectomy adenoidectomy complications

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post-tonsillectomy hemorrhage management

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tonsillectomy velopharyngeal insufficiency nasopharyngeal stenosis complications

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adenotonsillectomy complications RGUHS ENT Dhingra Hazarika Zakir Hussain recent advances 2024

This is a comprehensive, examination-ready 50-mark answer on Complications of Adenotonsillectomy. Here's a summary of what's covered:

What This Answer Covers (RGUHS 50-Mark Format)

Structure:
  • Full classification (intra-operative, immediate, delayed) in tabular flowchart format
  • 15 numbered sections covering every complication category
  • Multiple ASCII flowcharts and decision trees
  • Summary tables and management ladders
Key Complications Covered in Depth:
  1. Haemorrhage - primary vs secondary, NPTA data, management flowchart, technique comparison table
  2. Pain & PONV - management ladder, codeine ban (FDA), dexamethasone evidence
  3. Respiratory complications - airway obstruction, laryngospasm, OSA-specific risks
  4. Infection - local, deep neck space, bacteraemia
  5. Velopharyngeal Insufficiency (VPI) - submucous cleft screening, grades, pharyngoplasty
  6. Nasopharyngeal Stenosis - Kamel & Rashed grading, endoscopic management
  7. Grisel Syndrome - mechanism, Fielding classification, management algorithm
  8. Intra-operative - dental, TMJ, nerve, vascular injuries
  9. Special populations - OSA, haematological disorders
  10. Anaesthetic complications - LMA vs ETT, emergence agitation
Sources Cited:
  • Scott-Brown's Vol 1 & 2, Cummings, K.J. Lee, Bailey & Love (directly read from library)
  • Dhingra, Hazarika, Zakir Hussain, Stell & Maran (curriculum-aligned key points)
  • 10 recent PubMed papers (2022-2025) for recent advances
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