|
KMID : 0390220070180010060
|
|
Journal of Clinical Otolaryngology, Head and Neck Surgery
2007 Volume.18 No. 1 p.60 ~ p.64
|
|
|
Clinical and Causative Analysis of Secondary Post-Tonsillectomy Hemorrhage
|
|
Kim Beom-Gyu
Kim Il-Woo
Chang Jai-Hyuk
Kim Yong-Bok
Park Il-Seok
|
|
|
Abstract
|
|
|
Background and Objectives：Post-tonsillectomy hemorrhages are recognized as the most serious complication, and occur as a primary (<24h) or secondary (>24h) hemorrhage. The aim of this study was to ascertain the incidence and character of secondary post-tonsillectomy hemorrhages.
Materials and Methods：Retrospective chart reviews of 927 patient who underwent tonsillectomy between January 1, 2001, and December 31, 2005, at our institution.
Results：Secondary hemorrhages occurred in a total of 80 patients (8.6%) and the incidence of secondary hemorrhages peaked at 21-30 years in both men and women (p<0.05). The reverse trendelenburg position of patient increased the incidence of secondary hemorrhages by comparison with Rose’s position (p<0.05). There was no statistical significance associated with the seasons of year or preoperative upper respiratory infection. Most of the hemorrhages were controlled with electrocautery and conservative treatment.
Conclusion：To reduce the incidence of secondary hemorrhage, active hemostasis in proper surgical position is needed and patients should carry out the precautions given to them.
|
|
|
KEYWORD
|
|
|
Tonsillectomy, Hemorrhage
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|