Abstract
Introduction: Post-tonsillectomy bleeding remains the most serious complication of tonsillectomy. The rate of post tonsillectomy bleeding varies with different technique. The common used techniques are the bipolar, monopolar and cold. Methods: This was a retrospective case series study based on chart review of children under 14 years who underwent tonsillectomy during the period between January 2010 to December 2011 at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia – ENT department. The charts of all the patients were reviewed by the student and the data form filled for included patients for the age, gender, indications for tonsillectomy, previous surgery, medications, admission type, technique used which are the bipolar, monopolar and cold technique and complications. Results: Out of 60 patients reviewed, post tonsillectomy bleeding was reported in 16 (27%). Indications for tonsillectomy were six indications and most common one was recurrent adenotonsillitis in 27 (46%). Intraoprative bleeding was 8 cases (13%) which was the most common type of bleeding and there was no significant difference in post tonsillectomy bleeding between the three techniques (p=0.62). Conclusion: The result showed that there was no significant difference in post tonsillectomy bleeding between the three techniques.
Highlights
Post-tonsillectomy bleeding remains the most serious complication of tonsillectomy
The result showed that there was no significant difference in post tonsillectomy bleeding between the three techniques
Sixty cases of tonsillectomy from different gender and age under 14 years were reviewed, the male gender was the majority of the sample
Summary
Post-tonsillectomy bleeding remains the most serious complication of tonsillectomy. The rate of post tonsillectomy bleeding varies with different technique. The tonsils are tissue mass at the back of the throat. If they keep becoming infected, or if they enlarged and cause problems such as shortness of breath (SOB), they may need to be removed in an operation called tonsillectomy [1,2]. Post tonsillectomy bleeding remains the most serious complication of tonsillectomy [5]. The rate of post tonsillectomy bleeding varies with different technique [6]. Bleeding has been divided into two categories; primary, occurring less than 24 hour after surgery and secondary, occurring more than 24 hour, commonly 5–10 days after the operation. Secondary hemorrhage has a reported rate of 3–5% leading to re‐admission to hospital [7,8]
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