Oropharyngeal Stenosis: A Rare Complication of Tonsillectomy

Tonsillectomy is the most common major surgery done in children all over the world. Cold knife dissection under general anaesthesia is about the most popular method of surgical removal of the tonsils amongst surgeons in our setting. Although anaesthetic or surgical complications may occur with resultant morbidity and rarely mortality; oropharyngeal stenosis is an unusual complication. We report a case of a 17-year-old girl with an unusual oropharyngeal stenosis following tonsillectomy done by cold knife dissection causing prolonged hospital stay due to significant morbidity. Clinical presentation, endoscopic evaluation and surgical management of the patient were highlightedwith a review of pertinent literature. We conclude that oropharyngeal stenosis is an uncommon complication of simple tonsillectomy. Early diagnosis requires a high index of suspicion at routine follow-up clinics. A simple surgical adhesiolysis may suffice if detected early prior to progression to thick, firm scar

Vagal reflex stimulation complicating retrieval of an unusual foreign body from the laryngotracheal lumen: Case report

Foreign body impaction in the aero digestive tract is a life-threatening emergency, particularly in the paediatric age group. Removal under general anaesthesia poses both surgical and anaesthetic challenges and this may rarely result in mortality. We report a case of a 4 year old boy with an unusual foreign body (FB) impacted in the laryngotracheal causing difficult intubation and precluding tracheostomy with attendant vasovagal reflex stimulation and cardiac arrest. Clinical presentation and radiological evaluation of the patient were highlighted with a review of pertinent literature. We conclude that dis-impacting a foreign body in the trachea could potentiate bradycardia and cardiac arrest; co-existing hypercarbia and/or sepsis increase the risk and worsen the prognosis