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Related Experiment Videos

Spontaneous tonsillar hemorrhage.

W S Griffies1, P W Wotowic, T O Wildes

  • 1Department of Otolaryngology-Head Naval Hospital, Oakland, CA 94627.

The Laryngoscope
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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Spontaneous tonsillar hemorrhage (STH) most often results from bacterial tonsillitis, typically affecting peripheral vessels. While rare, significant bleeding may require arteriography, but peripheral STH is manageable with local treatment and tonsillectomy.

Area of Science:

  • Otolaryngology
  • Vascular Surgery
  • Infectious Diseases

Background:

  • Spontaneous tonsillar hemorrhage (STH) is uncommon, often linked to infections.
  • Historically, major vessel erosion from deep neck abscesses caused fatal hemorrhage, now rare due to antibiotics.
  • STH commonly originates from peripheral tonsil vessels, frequently associated with bacterial tonsillitis.

Purpose of the Study:

  • To investigate the causes, incidence, and management of spontaneous tonsillar hemorrhage (STH).
  • To identify patient populations and clinical features associated with STH.
  • To evaluate the diagnostic and therapeutic approaches for STH.

Main Methods:

  • Retrospective review of medical records for 860 patients with conditions predisposing to STH.

Related Experiment Videos

  • Identification and analysis of 10 cases of STH.
  • Clinical assessment, including arteriography in select cases, and review of treatment outcomes.

    • Main Results:

    • Ten cases of STH were identified, all originating from peripheral tonsil vessels.
    • Bacterial tonsillitis was the most frequent cause (80%), with an incidence of 1.1% in tonsillitis cases.
    • Infectious mononucleosis and neoplasm were other identified causes; 70% presented with venous bleeding.

    Conclusions:

    • Bacterial tonsillitis is the primary cause of STH, predominantly involving peripheral vessels.
    • Arteriography is indicated for suspected major vessel erosion or significant, non-obvious peripheral bleeding.
    • Peripheral STH can be effectively managed through local interventions and tonsillectomy.