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KMID : 0390220060170010089
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2006 Volume.17 No. 1 p.89 ~ p.93
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A Clinical Study of the Post-tonsillectomy Hemorrhage
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Yang Yun-Su
Kim Jin-Sung
Lee Hwa-Uk
Hong Ki-Hwan
Lee Eun-Jung
So Sang-Su
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Abstract
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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 posttonsillectomy hemorrhages from a population of 2,437 tonsillectomies were identified from January 1995 to December 2004. Results : Incidence of posttonsillectomy 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 posttonsillectomy 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 posttonsillectomy hemorrhages were controlled with conservative treatment (62%). Conclusion : These results now provide the basis for informed consent for a tonsillectomy in our department.
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KEYWORD
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Tonsillectomy, Hemorrhage
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