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Updated: Dec 25, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
Coagulation tests or standardized questionnaire, which is better as a predictor of bleeding? A prospective study
Muhamed Masalha1,2, Ari DeRowe3, Salim Mazzawi4
1Deptartment of Otolaryngology Head and Neck Surgery, Emek Medical Center (affiliated with The Ruth and Bruce Rappaport School of Medicine, Technion Institute of Technology, Haifa), Yitzhak Rabin Boulevard 21, 1834111, Afula, Israel. masalha.muhamed@gmail.com.
Objective:
The value of pre-operative coagulation testing for adenotonsillar surgery is controversial. The purpose of this study was to evaluate the role of routine coagulation tests and a standardized questionnaire in children before tonsillectomy and/or adenoidectomy.
Results:
A total of 143 children were prospectively enrolled in the study between 2013 and 2017, 81 males (56.6%) and 62 females (43.4%), age range 1 to 18 years (median age 5 years). Eighteen bleeding events were documented, three of them required treatment in the operating room. Abnormal coagulation tests were not associated with higher odds of bleeding after surgery. Higher risk of bleeding (p = 0.01) was associated with an abnormal standardized medical questionnaire.
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