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|Waad Maher ALQulayti|
|king Abdulaziz University School of Medicine, KSA|
|Posters & Accepted Abstracts: Pediatr Ther|
|Sickle cell disease (SCD) usually manifests early in childhood by vaso-occlusive crisis (VOC). There’s a high prevalence of adenotonsillar hypertrophy in patients with SCD to 55.3% , Infections specially Adeno-tonsillitis is common in children and might be associated with increased risk Vasoocclusive crisis. Up to now, far too little attention has been paid to SCD and Adeno-tonsillectomy Our aim is to study the effect and outcome of performing adeno-tonsillectomy in patients with SCD and it’s relation to the frequency of vaso-occlusive crisis episodes in sickle cell anemia patients. our study is a retrospective, epidemiological study involving all pediatric patients (2-18 years) ) with sickle cell anemia who are known to have vaso-occlusive crisis and underwent Adeno-tonsillectomy at King Abdulaziz University hospital, Jeddah, Saudi Arabia from 2005-2015 .. we first determined the operation date, and then the outcome of the procedure was measured through four main categories which were: the frequency of VOC, the demand of blood transfusion, the frequency of ER visits and ICU admissions in a period of three years before and after the surgery Regarding the result a total of 524 files of sickle cell patients were reviewed, we included patients who have a history of VOC and underwent Adeno-tonsillectomy at age of ( 2-18 years old )36 patients were eligible and analysed in the study. We found there was no statistical difference in the number of VOC on the 3 years before and the 3 years after Adenotonsillectomy (P-value= 0.904) also There was no statistical difference in the number of BT on the 3 years before and the 3 years after Adenotonsillectomy (P-value= 0.873) Regarding the other parameters, there were no significant difference in the number of ER visits and ICU admissions on the 3 years before and after operation. On conclusion we believe that performing Adenotonsillectomy in sickle cell patients did not affect the frequency of VOC a prospective study with a larger sample size is recommended to further evaluate this outcome.|
Waad She was born in Dhahran, East regions, KSA on 11th March1993. She graduated from Rawdat Alsulaymmania High School in Jeddah in June 2011, and from the college of medicine on king Abdul-Aziz University, Jeddah, KSA with a MBBS of medicine and surgery in May 2017 at the age of 24. She is a medical intern now. She has published 3 papers in reputed journals and she looking forward to complete her residency in pediatric as a specialty.
Email: [email protected]
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