Abstract
Introduction: Post-tonsillectomy bleeding is one of the most common complications of tonsillectomy. The rate varies with different methods. Objective: The purpose of the study was to compare the prevalence of postoperative bleeding after total, extracapsular tonsillectomy, and after subtotal, intracapsular, microscope- and microdebrider- assisted tonsillectomy. Methods: We retrospectively analyzed patients who underwent a tonsillectomy in a period of two years. We compared two surgical methods, extracapsular tonsillectomy and microscope- and microdebrider-assisted intracapsular tonsillectomy. Results: Five hundred seventy patients were included in the study. Postoperative hemorrhage occurred in 100 patients (17.5%). By the extracapsular tonsillectomy method, postoperative bleeding was noted in 82 patients (19.7%), while by the intracapsular technique in 18 (11.7%) patients. A return-to-theatre to achieve hemostasis was required in 38 patients (9.1%) and 3 patients (1.9%), respectively. Conclusion: Our study showed a statistically significant lower incidence of post-tonsillectomy bleeding and need to perform revision surgery under general anesthesia to control bleeding after intracapsular tonsillectomy.
Highlights
Post-tonsillectomy bleeding is one of the most *Correspondence to Author: common complications of tonsillectomy
Postoperative hemorrhage occurred in 100 patients my and extracapsular tonsillectomy
By the extracapsular tonsillectomy method, postopera- A retrospective cohort study.Intertive bleeding was noted in 82 patients (19.7%), while by the in- national Research Journal of Ototracapsular technique in 18 (11.7%) patients
Summary
Post-tonsillectomy bleeding is one of the most *Correspondence to Author: common complications of tonsillectomy. The rate varies with dif- Panagiotis Saravakos, M.D., Ph.D. Tonsillectomy is one of the most frequently performed surgical procedures, in the last years, a gradual decrease in the number of performed tonsillectomies is noted [1]. The most common indication for tonsillectomy is acute recurrent tonsillitis/chronic tonsillitis or adenotonsillar hypertrophy that results in sleepprevalence of PTB after total, extracapsular tonsillectomy and after subtotal, intracapsular, microscope - and microdebrider-assisted tonsillectomy. Secondary objectives were to evaluate differences in bleeding rates in male and female patients and between different age groups, and whether the technique used influenced its onset
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