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Peritonsillar abscess--critical analysis of abscess tonsillectomy
A A Dünne1, O Granger, B J Folz
1Department of Otorhinolaryngology, Head and Neck Surgery, Philipps University of Marburg, Germany.
Clinical Otolaryngology and Allied Sciences
|September 13, 2003
Summary
Secondary hemorrhage after abscess tonsillectomy occurs in 22% of patients, with 11% requiring surgery. This study highlights a significant risk of bleeding complications following this procedure.
Area of Science:
- Otorhinolaryngology
- Surgical Complications
Background:
- Secondary hemorrhage is a known complication after tonsillectomy.
- Existing literature presents varying rates for secondary hemorrhage following abscess tonsillectomy, leading to uncertainty about the objective risk.
Purpose of the Study:
- To analyze complication rates, specifically secondary hemorrhage, after abscess tonsillectomy.
- To provide further data on the incidence and management of secondary hemorrhage in this patient group.
Main Methods:
- A retrospective and prospective analysis was conducted.
- Data from 142 patients who underwent abscess tonsillectomy were reviewed.
Main Results:
- A secondary hemorrhage rate of 22% was observed.
- Eleven percent of all patients required surgical intervention for hemorrhage.
- Hemorrhage most frequently occurred on postoperative days 6 and 8.
Conclusions:
- Abscess tonsillectomy carries a significant risk of secondary hemorrhage.
- The findings support previous analyses indicating a high risk of bleeding complications associated with tonsillectomy and abscess tonsillectomy.