TY - JOUR
T1 - Recurrent post tonsillectomy bleeds
T2 - Presentation and characteristics in the paediatric population
AU - van der Meer, Graeme
AU - Gruber, Maayan
AU - Mahadevan, Murali
N1 - Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2017/7/1
Y1 - 2017/7/1
N2 - 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.
AB - 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.
KW - Haemorrhage
KW - Paediatric
KW - Post-tonsillectomy
KW - Recurrent
UR - http://www.scopus.com/inward/record.url?scp=85018947524&partnerID=8YFLogxK
U2 - 10.1016/j.ijporl.2017.04.046
DO - 10.1016/j.ijporl.2017.04.046
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C2 - 28583507
AN - SCOPUS:85018947524
SN - 0165-5876
VL - 98
SP - 68
EP - 70
JO - International Journal of Pediatric Otorhinolaryngology
JF - International Journal of Pediatric Otorhinolaryngology
ER -