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Risk Factors of Post-Tonsillectomy Bleeding and Differences Between Children and Adults: Implications for Risk

Bülent Öcal1, Mehmet Murat Günay1, Kemal Keseroğlu2

  • 1Ankara Etlik City Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Ankara, Türkiye.

Turkish Archives of Otorhinolaryngology
|January 13, 2025
PubMed

Insights

Adults and patients using non-steroidal anti-inflammatory drugs (NSAIDs) post-tonsillectomy face a higher risk of post-tonsillectomy hemorrhage (PTH). Minor bleeding episodes also increase the likelihood of rebleeding in adults.

Area of Science:

  • Otolaryngology
  • Surgical Outcomes
  • Hemorrhage Research

Background:

  • Post-tonsillectomy hemorrhage (PTH) is a significant complication.
  • Understanding risk factors is crucial for patient management and preventing rebleeding.

Purpose of the Study:

  • To identify clinical factors associated with post-tonsillectomy hemorrhage (PTH).
  • To investigate the risk of rebleeding episodes after tonsillectomy.

Main Methods:

  • Retrospective review of 1,082 patient records from May 2018 to April 2019.
  • Data collected included demographics, surgical details, postoperative care, and hemorrhage events.
  • Statistical analysis using univariate and multivariable models to identify risk factors.

Main Results:

  • Overall PTH rate was 8.0%, with higher incidence in adults (18.8%) compared to children (4.0%).
  • Significant risk factors for PTH included older age (>15 years) and postoperative NSAID use.
  • Severe hemorrhage requiring surgical intervention was more common in adults (8.2%) than children (1.5%).

Conclusions:

  • Adult patients and those using NSAIDs postoperatively are at increased risk of PTH.
  • Previous minor bleeding episodes may elevate the risk of subsequent hemorrhage in adults.
Abstract

Keywords:
Tonsillectomycomplicationsnonsteroidal anti-inflammatory agentsoral hemorrhagepostoperative hemorrhagesrisk factors

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