편도적출술후 출혈에 관한 임상적 고찰

Abstract

Backgroud and Objectives: Tonsillectomy with and without adenoidectony is a frequently performed operation. Hemorrhage is the most common and serious complication following tonsillectomy. This study was developed to characterize the patient population of posttonsillectomy hemorrhage and to review the information we give to patients and to the parients of patients receiving a tonsillectomy. Materials and Methods: We retrospectively reviewed the inpatient charts treated at our ENT department for posttonsillectomy hemorrhage. 68 po sttonsillectomy hemorrhages from a population of 2,437 tonsillectomies were identified from January 1995 to December 2004. Results: Incidence of po sttonsillectomy hemorrhage in this series was 2.7%, of which the primary and secondary types accounted for 7% and 93%, respectively. Incidence of bleeding was more common in male patients, operation in lower grade of residents and September to December of months. The incidence of po sttonsillectomy hemorrhage increased with age, peaking at 26—30 years in both male and female, with statistically significant difference between the two sexes (p=0.038). The majority of posttonsillectomy hemorrhages presented between the fourth and ninth day after operation (67%). The majority of po sttonsillectomy hemorrhages were controlled with conservative treatment (62%). Conclusion: These results now provide the basis for informed consent for a tonsillectomy in our department. (J Clinical Otolaryngol 2006;17:89–93)