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The relationship between posttonsillectomy bleeding to hemogram and coagulation parameters.

Mustafa Güllüev1, Abitter Yücel2, Berat Demirci2

  • 1Department of Otorhinolaryngology, Develi State Hospital, Kayseri, 38100, Turkey. mustafagulluev@gmail.com.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|February 5, 2024
PubMed
Summary

Post-tonsillectomy bleeding (PTB) risk increases with age and higher white blood cell (WBC) and neutrophil counts. Infection investigation is crucial for predicting and preventing PTB after tonsillectomy.

Keywords:
Coagulation disorderHemogramHemorrhagePostoperative bleedingTonsillectomy

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Hematology

Background:

  • Tonsillectomy is a frequent surgical procedure for various throat conditions.
  • Post-tonsillectomy bleeding (PTB) is a significant, albeit rare, complication.
  • Understanding PTB risk factors is crucial for patient safety.

Purpose of the Study:

  • To investigate the influence of hemogram and coagulation values on PTB.
  • To explore potential seasonal effects on PTB incidence.
  • To identify predictors for post-tonsillectomy bleeding.

Main Methods:

  • Retrospective review of 991 patients undergoing cold knife tonsillectomy (August 2020 - August 2023).
  • Analysis of demographic data, hemogram, and coagulation parameters.
  • Comparison between patients with and without PTB.

Main Results:

  • The overall PTB rate was 2.82%, with no primary bleeding cases.
  • Higher age, white blood cell (WBC) count, and neutrophil levels were associated with PTB.
  • No significant differences in gender, season, or other coagulation parameters were observed.

Conclusions:

  • Elevated age, WBC, and neutrophil counts are potential risk factors for PTB.
  • Seasonal variations and standard coagulation tests (aPTT, INR) did not show significant differences.
  • Thorough infection assessment and consideration of age are vital for PTB prediction and prevention.