POST-TONSILLECTOMY HEMORRHAGE IN CHILDREN; DOES BIPOLAR CAUTERY INCREASE THE RISK?
Journal Title: PARIPEX-Indian Journal of Research - Year 2017, Vol 6, Issue 10
Abstract
Tonsillectomy is one of the commonest otolaryngological procedures performed.Post-tonsillectomy hemorrhage remains the most serious complication of tonsillectomy. Materials and methods:In this work, we analyzed different parameters including patient's age, gender, type of surgery Tonsillectomy or Adenotonsillectomy, technique Cold dissection or Bipolar, evidence of tonsillar bed infection and pre-operative hemoglobin level in two groups of patients indicated for tonsillectomy. One group of 180 patients did not suffer from posttonsillectomy bleeding as a control group; the other of 20 patients having secondary posttonsillectomy bleeding. Results: According to our statistical analysis and data, no significant difference between the two groups regarding the occurrence of secondary post-tonsillectomy in the following parameters: patient's age, gender, type of surgery Tonsillectomy or Adenotonsillectomy and preoperative hemoglobin level. The study concluded that there was higher incidence of secondary post tonsillectomy bleeding in patients operated by bipolar. Also evidence of tonsillar bed infection raises the possibility of secondary post-tonsillectomy bleeding occurrence.
Authors and Affiliations
DR OMAR MOHAMMAD SHAFI, DR ZUBAIR AHMAD LONE, DR QURAT UL AIN BATOOL, PROF RAUF AHMAD
Keywords
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