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Updated: Jul 11, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Tonsillectomy in the anticoagulated patient.

Stephanie M Cole¹, Matthew B Patterson, Craig L Cupp

¹Department of Otolaryngology, Naval Medical Center San Diego, CA 92134, USA.

The Annals of Otology, Rhinology, and Laryngology

|September 13, 2007

Summary

This study presents a novel bridging strategy for anticoagulated patients undergoing tonsillectomy, balancing thrombosis and hemorrhage risks. The approach proved safe and effective in a case report, offering a new management option.

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Last Updated: Jul 11, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Area of Science:

Cardiovascular Medicine
Surgical Oncology
Hematology

Background:

Perioperative management of anticoagulated patients lacks a consensus.
Tonsillectomy in anticoagulated patients presents unique hemorrhage risks.

Observation:

A case report details a 28-year-old woman with antiphospholipid syndrome on warfarin undergoing tonsillectomy.
A bridging strategy using low-molecular-weight heparin and unfractionated heparin was implemented.

Findings:

The patient experienced successful tonsillectomy without thrombosis or bleeding.
Limited evidence exists for perioperative anticoagulation management.

Implications:

Tonsillectomy can be performed safely in high-risk anticoagulated patients.
A novel bridging strategy effectively manages competing thrombosis and hemorrhage risks.
An algorithm for managing these risks is proposed.