Related Experiment Video

Updated: Dec 11, 2025

CO2-Lasertonsillotomy Under Local Anesthesia in Adults
05:07

CO2-Lasertonsillotomy Under Local Anesthesia in Adults

Published on: November 6, 2019

25.6K

Evaluation of Secondary Post-Tonsillectomy Bleeding among Children in Saudi Arabia: Risk Factor Analysis

Turki Aldrees1, Abdullah Alzuwayed2, Abdullah Majed2

  • 1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, 204568Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.

Ear, Nose, & Throat Journal
|August 25, 2020
PubMed

Insights

Age and sleep disorders like obstructive sleep apnea are key risk factors for secondary bleeding after tonsillectomy in children. Longer hospital stays also increase this risk, according to a Saudi Arabian study.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Public Health

Background:

  • Tonsillectomy is a common procedure for tonsillitis, obstructive sleep apnea, and related conditions.
  • Limited data exists on tonsillectomy risk factors in Saudi Arabia.
  • Secondary post-tonsillectomy bleeding is a significant concern.

Purpose of the Study:

  • To identify and analyze risk factors for secondary post-tonsillectomy bleeding.
  • To establish a baseline for future research in Saudi Arabia.

Main Methods:

  • Retrospective review of 713 pediatric cases at King Abdullah Specialized Children's Hospital, Riyadh.
  • Univariate and multivariate analyses were conducted to determine risk factors.

Main Results:

  • The incidence of post-tonsillectomy bleeding was 5.3%.
  • No seasonal variation in bleeding rates was observed (P = .8).
  • Multivariate analysis identified age (OR = 1.156; P = .039) and sleep disorder/obstructive sleep apnea (OR = 3.581; P = .006) as significant risk factors.

Conclusions:

  • Age, sleep disorder/obstructive sleep apnea, and prolonged hospital stay are significant risk factors for post-tonsillectomy bleeding.
  • Findings provide crucial baseline data for local studies on tonsillectomy outcomes.
Abstract

Keywords:
Saudi Arabiahemorrhagepost-tonsillectomy bleedingsecondary bleedingtonsillectomy

More Related Videos

Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study09:36

Standardization of Basket Use in Sialendoscopy: A Ten-Year Retrospective Study

Published on: June 6, 2025

451

Related Concept Videos

Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
301
Tonsillitis I: Introduction01:30

Tonsillitis I: Introduction

Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
1.2K
Epistaxis01:30

Epistaxis

Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
415
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
2.2K
Chronic Pharyngitis01:23

Chronic Pharyngitis

Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
9.1K
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
1.0K