Does suturing tonsil pillars post-tonsillectomy reduce postoperative hemorrhage?: A literature review
Jacqueline A Wulu1, Melissa Chua2, Jessica R Levi1
1Otolaryngology- Head and Neck Surgery, Boston University School of Medicine, Boston, MA, 02118, USA.
International Journal of Pediatric Otorhinolaryngology
|January 6, 2019
Summary
Suturing tonsil pillars after tonsillectomy may reduce the risk of post-tonsillectomy hemorrhage. This review suggests the procedure could be beneficial, particularly after cold tonsillectomy, potentially decreasing patient distress and hospitalizations.
Area of Science:
- Otolaryngology
- Surgical Complications
- Pediatric Surgery
Background:
- Post-tonsillectomy hemorrhage is a common complication.
- Hemorrhage can lead to significant patient distress and hospitalization.
Purpose of the Study:
- To compare post-tonsillectomy hemorrhage in pediatric and adult patients.
- To investigate the efficacy of tonsil pillar suturing in reducing post-tonsillectomy hemorrhage.
Main Methods:
- A literature review of online journal databases was conducted.
- Search terms included "post tonsillectomy hemorrhage" and "tonsil pillar suture".
- Ten studies were analyzed, focusing on postoperative bleeding and pain.
Main Results:
- Four studies directly addressed postoperative bleeding, involving 3987 patients.
- Five studies focused on pain reduction (225 patients).
- One study evaluated both pain and bleeding.
Conclusions:
- Suturing tonsil pillars may reduce the risk of severe post-operative bleeding.
- The procedure may be beneficial after cold tonsillectomy.
- This technique could potentially decrease the need for return to the operating room.
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