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Updated: Jun 17, 2026

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

CO₂-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

Difference of delayed post-tonsillectomy bleeding between children and adults.

Dong Wook Kim¹, Ja-Won Koo, Soon-Hyun Ahn

¹Department of Otorhinolaryngology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, 300 Goomi-dong, Bundang-gu, Seongnam 463-707, Republic of Korea.

Auris, Nasus, Larynx

|December 26, 2009

Summary

Adults experience higher rates of post-tonsillectomy bleeding than children. While children often achieve spontaneous hemostasis, adults may require interventions for bleeding control after tonsillectomy.

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Published on: June 14, 2020

Area of Science:

Otolaryngology
Pediatric Surgery
Surgical Complications

Background:

Post-tonsillectomy bleeding is a significant concern.
Understanding age-related differences in bleeding characteristics is crucial for management.

Purpose of the Study:

To compare the incidence, timing, and management of post-tonsillectomy bleeding in children and adults.

Main Methods:

Retrospective chart review of 1489 patients undergoing tonsillectomy.
Analysis of bleeding rates, onset times, and hemostasis methods across different age groups.

Main Results:

Bleeding rates were 3.1% (younger children), 2.5% (older children), and 10.8% (adults).
Children exhibited bimodal bleeding peaks, while adults had a unimodal peak.
Spontaneous hemostasis was common in younger children but not in older children or adults.

Conclusions:

Adults have a higher frequency of post-tonsillectomy bleeding compared to children.
Children, particularly younger ones, show a greater prevalence of spontaneous hemostasis.
Close observation alone was sufficient for younger children with bleeding.