Post-tonsillectomy and -adenoidectomy hemorrhage in nonselected patients

Ann Otol Rhinol Laryngol. 2003 Jan;112(1):63-70. doi: 10.1177/000348940311200113.

Abstract

This retrospective study was undertaken to evaluate the incidence of hemorrhage in nonselected patients requiring surgical treatment after adenoidectomy (group 1; 7,785 patients) or tonsillectomy with or without adenoidectomy (group 2; 6,794 patients). Postoperative bleeding from the tonsillar fossae occurred in 200 patients (2.94%). Primary hemorrhage (< 24 hours) clearly prevailed in groups 1 (86%) and 2 (78%). There was 1 case with a lethal outcome following tonsillectomy (0.007%). Bleeding from the epipharynx occurred in 17 patients of group 1 (0.21%). A total of 5 patients received blood transfusions, all of them belonging to group 2 (0.07%). The latest bleeding occurred 6 days (adenoidectomy) and 18 days (tonsillectomy) after surgery. Hemorrhage following both procedures is a rare complication predominantly occurring several hours after surgery and in nonselected patients. Male gender, age over 70 years, infectious mononucleosis, and a history of recurrent tonsillitis were found to be risk factors for posttonsillectomy hemorrhage.

Publication types

  • Comparative Study

MeSH terms

  • Adenoidectomy / adverse effects*
  • Adolescent
  • Adult
  • Age Factors
  • Aged
  • Blood Transfusion
  • Chi-Square Distribution
  • Child
  • Child, Preschool
  • Data Interpretation, Statistical
  • Female
  • Hemorrhage / etiology*
  • Hemorrhage / therapy
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Postoperative Complications* / therapy
  • Recurrence
  • Risk
  • Risk Factors
  • Sex Factors
  • Time Factors
  • Tonsillectomy / adverse effects*
  • Tonsillitis / diagnosis
  • Tonsillitis / surgery