Article: Factors associated with post-tonsillectomy hemorrhage.

Abstract

Despite the otolaryngologist's most diligent efforts to prevent it, hemorrhage is the most common, albeit sporadic, significant complication of tonsillectomy. For this retrospective study of post-tonsillectomy hemorrhage rates, we examined the charts of 430 consecutive tonsillectomy patients who had been operated on by one of two general otolaryngologists at our institution. The two surgeons used the same removal technique (cold dissection and snare), but slightly different methods of hemostasis.

We found that the overall bleeding rate was 4%; the primary ([less than]24 hr) hemorrhage rate was 0.23%, and the secondary rate was 3.7%. Factors ...

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