Abstract
BackgroundTonsillectomy is one of the commonest otolaryngological procedures performed. Multiple reports have demonstrated the safety of ambulatory (outpatient) pediatric Tonsillectomy, however Post-tonsillectomy hemorrhage remains the most serious complication of tonsillectomy.Patients and methodsIn this work, we analyzed different parameters including patient’s age, gender, type of surgery “Tonsillectomy or Adenotonsillectomy”, technique “Cold dissection or Bipolar”, evidence of tonsillar bed infection and pre-operative hemoglobin level in two groups of patients indicated for tonsillectomy. One group of 80 patients didn’t suffer from posttonsillectomy bleeding as a control group; the other of 20 patients having secondary post-tonsillectomy bleeding.ResultsAccording to our statistical analysis and data, no significant difference between the two groups regarding the occurrence of secondary post-tonsillectomy in the following parameters: patient’s age, gender, type of surgery “Tonsillectomy or Adenotonsillectomy” and preoperative hemoglobin level.ConclusionHowever there was higher incidence of secondary post tonsillectomy bleeding in patients operated by bipolar scissors. Also evidence of tonsillar bed infection raises the possibility of secondary post-tonsillectomy bleeding occurrenc.
Highlights
Tonsillectomy is one of the oldest and most common surgeries carried out by otolaryngologists
Post-tonsillectomy hemorrhage is divided into two types: primary hemorrhages occurring within 24 h and secondary hemorrhages occurring at any point more than 24 h after tonsillectomy [1]
The overall hemorrhage rate is around 4.5% [2], with reported rates of 0.2–2.2% and 0.1–3.5% for primary and secondary hemorrhages, respectively [1]
Summary
Tonsillectomy is one of the oldest and most common surgeries carried out by otolaryngologists. Postoperative complications following tonsillectomy are generally rare, with post-tonsillectomy hemorrhage being one of the most common serious complications [1]. Primary hemorrhage is generally acknowledged to be caused by inadequate hemostasis during the surgery. The previously reported risk factors for posttonsillectomy hemorrhage include sex, age, tonsillectomy indication, surgical technique and device, and the skill level of the surgeon [4]. Patients and methods: In this work, we analyzed different parameters including patient’s age, gender, type of surgery “Tonsillectomy or Adenotonsillectomy”, technique “Cold dissection or Bipolar”, evidence of tonsillar bed infection and pre-operative hemoglobin level in two groups of patients indicated for tonsillectomy. Results: According to our statistical analysis and data, no significant difference between the two groups regarding the occurrence of secondary post-tonsillectomy in the following parameters: patient’s age, gender, type of surgery “Tonsillectomy or Adenotonsillectomy” and preoperative hemoglobin level. Evidence of tonsillar bed infection raises the possibility of secondary post-tonsillectomy bleeding occurrenc
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