SavedAdd your journal

Journals / ENT Updates / 2018 / Cilt: 8 - Sayı: 2

Risk Factors For Post-Tonsillectomy Hemorrhage

Nihat SUSAMAN
İrfan KAYGUSUZ
Turgut KARLIDAĞ
Erol KELEŞ
Şinasi YALÇIN
Rabia EFE ÇİLİBAŞ
Pages
114–119
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Results: The overall rate of PTH was 5.6% (3.0% pediatric, 2.6% adult).

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: This research was undertaken to determine the frequency of post-tonsillectomy hemorrhage (PTH) in one particular clinical setting and to assess which risk factors exist for PTH.
📊
Key Findings & Data:Methods: Following a retrospective case review of 892 patients who had gone through either tonsillectomy or adenotonsillectomy, a subgroup of 50 records were selected for detailed study.
💡
Conclusion & Impact:Results: The overall rate of PTH was 5.6% (3.0% pediatric, 2.6% adult).
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: This research was undertaken to determine the frequency of post-tonsillectomy hemorrhage (PTH) in one particular clinical setting and to assess which risk factors exist for PTH. Methods: Following a retrospective case review of 892 patients who had gone through either tonsillectomy or adenotonsillectomy, a subgroup of 50 records were selected for detailed study. These 50 patients were then classified as either pediatric cases (aged under 16) or adult cases (aged over 16). Their risk factors were then assessed. Risk factors included: age, sex, surgical indication; type of surgery; time hospitalized post-operatively; timing of PTH (primary and secondary); management used to staunch bleeding and time in hospital following PTH. Results: The overall rate of PTH was 5.6% (3.0% pediatric, 2.6% adult). All PTH instances were secondary and no primary type occurred. In comparing the adult and pediatric cases of PTH, there was no statistically significant difference (p>0.05) in terms of age, sex, time hospitalized post-operatively, management used to staunch bleeding or time in hospital following PTH. There was, however, a statistically significant difference (p<0.05) between groups in terms of surgical indication and timing of PTH (primary or secondary). Conclusion: There was an increased frequency of secondary PTH in both groups. PTH typically happened between day 5 and 10 post-operatively. Patients need to be advised about this risk and show caution regarding factors that increase the risk of PTH after surgery.

🔖

Cite This Article

SUSAMAN, N., KAYGUSUZ, İ., KARLIDAĞ, T., KELEŞ, E., YALÇIN, Ş., ÇİLİBAŞ, R. E. (2018). Risk Factors For Post-Tonsillectomy Hemorrhage. ENT Updates, Cilt: 8 - Sayı: 2, 114–119. https://ajindex.com/articles/154475

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Ikoma R, Sakane S, Niwa K, Kanetaka S, Kawano T, Oridate N. Risk factors for post-tonsillectomy hemorrhage. Auris Nasus Larynx 2014;41:376-9
  2. Nguyen TBV, Chin RY, Paramaesvaran S, Eslick GD. Routine tonsillar bed oversew after diathermy tonsillectomy: does it reduce secondary tonsillar hemorrhage? Eur Arch Otorhinolaryngol 2014;271:3005-10 3. Walner DL, Karas A. Standardization of reporting post-tonsillectomy bleeding. Ann Otol Rhinol Laryngol 2013;122:277-82
  3. Sarny S, Habermann W, Ossimitz G, Schmid C, Stammberger H. Tonsillar hemorrhage and re- admission: a questionnaire based study. Eur Arch Otorhinolaryngol 2011;268:1803-7
  4. Sun GH, Harmych BM, Dickson JM, Gonzalez del Rey JA, Myer CM, Greinwald JH. Characteristics of children diagnosed as having coagulopathies following posttonsillectomy bleeding. Arch Otolaryngol Head Neck Surg 2011;137:65-8
  5. Ulualp SO. Rate of post-tonsillectomy hemorrhage after elective bipolar microcauterization of nonbleeding vessels. Eur Arch Otorhinolaryngol 2012;269:1269-75
  6. Kim DW, Koo JW, Ahn SH, Lee CH, Kim JW. Difference of delayed post-tonsillectomy bleeding between children and adults. Auris Nasus Larynx 2010;37:456-60
  7. Kaygusuz I, Susaman N. The effects of dexamethasone, bupivacaine and topical lidocaine spray on pain after tonsillectomy. Int J Pediatr Otorhinolaryngol 2003;67:737-42
  8. Kaan MN, Odabasi O, Gezer E, Daldal A. The effect of preoperative dexamethasone on early oral intake, vomiting and pain after tonsillectomy. Int J Pediatr Otorhinolaryngol 2006;70:73-9
  9. Belyea J, Chang Y, Rigby MH, Corsten G, Hong P. Post-tonsillectomy complications in children less than three years of age: A case-control study. Int J Pediatr Otorhinolaryngol 2014;78:871-4
  10. Liu JH, Anderson KE, Willging JP, et al. Posttonsillectomy hemorrhage: What is it and what should be recorded. Arch Otolaryngol Head Neck Surg 2001;127:1271-5
  11. Evans AS, Khan AM, Young D, Adamson R. Assessment of secondary hemorrhage rates following adult tonsillectomy-a telephone survey and literature review. Clin Otolaryngol Allied Sci 2003;28:489-91
  12. Windfuhr JP, Verspohl BC, Chen YS, Dahm JD, Werner JA. Post-tonsillectomy hemorrhage-some facts will never change. Eur Arch Otorhinolaryngol 2015;272:1211-18
  13. Siodlak MZ, Gleeson MJ, Wengraf CL. Post-tonsillectomy secondary hemorrhage. Ann R Coll Surg Engl 1985;67:167-8
  14. Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients.