Graeme van der Meer1, Maayan Gruber2, Murali Mahadevan3. 1. Department of Paediatric Otorhinolaryngology, Starship Children's Health, Auckland District Health Board, Park Road, Grafton, Auckland, New Zealand. Electronic address: graemev@adhb.govt.nz. 2. Technion - Israel Institute of Technology, Haifa, Israel. 3. Department of Paediatric Otorhinolaryngology, Starship Children's Health, Auckland District Health Board, Park Road, Grafton, Auckland, New Zealand.
Abstract
OBJECTIVE: To evaluate the incidence of, features and risk factors for recurrent post tonsillectomy bleeding. METHODS: Audit of all patients 0-15 years of age undergoing tonsillectomy between 01/2004-12/2014 with selection of those with recurrent bleeding post tonsillectomy for subanalysis. RESULTS: Of 5400 single centre tonsillectomies, 234 (4.8%) presented with bleeding and 9 (0.17%) presented with recurrent bleeding. 13 patients in total were treated, 10 surgically. Average patient age: 8.5 years with median time to presentation of the first bleed: 5 days and second bleed: 11 days. There was no association with abnormal coagulation, NSAID usage, severity of the first bleed or surgical technique. The risk of developing a second bleed following treatment for one post tonsillectomy bleeding incident is approximately 1 in 25. CONCLUSION: Recurrent post tonsillectomy bleeds are rare, and cannot be predicted preoperatively. The mainstay of management is surgical cautery, but other interventions are occasionally needed.
OBJECTIVE: To evaluate the incidence of, features and risk factors for recurrent post tonsillectomy bleeding. METHODS: Audit of all patients 0-15 years of age undergoing tonsillectomy between 01/2004-12/2014 with selection of those with recurrent bleeding post tonsillectomy for subanalysis. RESULTS: Of 5400 single centre tonsillectomies, 234 (4.8%) presented with bleeding and 9 (0.17%) presented with recurrent bleeding. 13 patients in total were treated, 10 surgically. Average patient age: 8.5 years with median time to presentation of the first bleed: 5 days and second bleed: 11 days. There was no association with abnormal coagulation, NSAID usage, severity of the first bleed or surgical technique. The risk of developing a second bleed following treatment for one post tonsillectomy bleeding incident is approximately 1 in 25. CONCLUSION: Recurrent post tonsillectomy bleeds are rare, and cannot be predicted preoperatively. The mainstay of management is surgical cautery, but other interventions are occasionally needed.
Authors: Joan Cox Gill; Stephen F Conley; Victoria P Johnson; Pamela A Christopherson; Sandra L Haberichter; Christina D Diaz; Tatyana C Strong; Jian Zhang; Pippa Simpson; Thomas C Abshire; Robert R Montgomery; Veronica H Flood Journal: Blood Adv Date: 2020-01-14
Authors: Stefanie Digiandomenico; Stephen F Conley; Victoria P Johnson; Pamela A Christopherson; Sandra L Haberichter; Jian Zhang; Pippa Simpson; Thomas C Abshire; Robert R Montgomery; Veronica H Flood Journal: Pediatr Blood Cancer Date: 2021-10-04 Impact factor: 3.167
Authors: Bin Xu; Hai-Yan Jin; Ke Wu; Cao Chen; Li Li; Yang Zhang; Wei-Zhong Gu; Chao Chen Journal: World J Clin Cases Date: 2021-03-06 Impact factor: 1.337