Prolonging Postoperative Hospitalization in Patients with Recurrent Tonsillitis to Reduce the Risk of Bleeding After Tonsillectomy
Abstract
Objective: This study aims to investigate the effect of lengthening early postoperative hospitalization on post-tonsillectomy bleeding and retrospectively analyzes patients who were operated on for a recurrent tonsillitis diagnosis.
Materials and Methods: The study includes a total of 92 patients who underwent a tonsillectomy for a recurrent tonsillitis diagnosis. The patients were divided into two groups: those discharged on postoperative day 1 (Group A), and those hospitalized for a more extended period (Group B). Both groups were compared in terms of bleeding after the tonsillectomy.
Results: In both groups, none of the patients aged 15 or under presented with post-tonsillectomy bleeding. For patients over the age of 15, no re-admission to the hospital with postoperative bleeding occurred in Group B, while 10 patients (10.9%) from Group A presented with complaints of bleeding and were re-hospitalized.
Conclusion: Extending the early hospitalization period to at least two days in tonsillectomies to be performed for recurrent tonsillitis, especially for late adolescents and adult patients, may reduce the likelihood of a revisit with post-tonsillectomy bleeding.
Keywords
Adult tonsillectomy postoperative pain post-tonsillectomy hemorrhage prolonged hospitalization recurrent tonsillitis
Supporting Institution
None
Project Number
None
Thanks
Thanks to Dr. Osman Kurt for his precious contribution of statistical analysis.
References
- Mattheeuws S, Duhamel S, Dhont K, Dhooge I, Van Hoecke H. Post-tonsillectomy hemorrhage: analysis of risk factors. B-ENT 2019;15:85-92. google scholar
- Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15.218 patients. Otolaryngol Head Neck Surg 2005;132(2):281-6. google scholar
- Morris S, Hassin E, Borschmann M. Overnight in-hospital observation following tonsillectomy: retrospective study of postoperative intervention. J Laryngol Otol 2018;132(1):46-52. google scholar
- Evans AS, Khan AM, Young D, Adamson R. Assessment of secondary haemorrhage rates following adult tonsillectomy-a telephone survey and literature review. Clin Otolaryngol Allied Sci 2003;28(6):489-91. google scholar
- Hoddeson EK, Gourin CG. Adult tonsillectomy: current indications and outcomes. Otolaryngol Head Neck Surg 2009;140(1):19-22. google scholar
- Bhattacharyya N, Kepnes LJ. Revisits and postoperative hemorrhage after adult tonsillectomy. Laryngoscope 2014;124 (7):1554-6. google scholar
- Seshamani M, Vogtmann E, Gatwood J, Gibson TB, Scanlon D. Prevalence of complications from adult tonsillectomy and impact on health care expenditures. Otolaryngol Head Neck Surg 2014;150(4):574-81. google scholar
- Galindo Torres BP, De Miguel García F, Whyte Orozco J. Tonsillectomy in adults: Analysis of indications and complications. Auris Nasus Larynx 2018;45(3):517-21. google scholar
- Verma R, Verma RR, Verma RR. Tonsillectomy-comparative study of various techniques and changing trend. Indian J Otolaryngol Head Neck Surg 2017;69(4):549-58. google scholar
- Tolska HK, Takala A, Pitkäniemi J, Jero J. Post-tonsillectomy haemorrhage more common than previously described--an institutional chart review. Acta Otolaryngol 2013;133(2):181-6. google scholar
- Xu S. The smoking history couldn’t be risk factors for posttonsillectomy hemorrhage in adult population. Am J Otolaryngol 2020;41(6):102713. google scholar
- Perkins JN, Liang C, Gao D, Shultz L, Friedman NR. Risk of posttonsillectomy hemorrhage by clinical diagnosis. Laryngoscope 2012;122(10):2311-5. google scholar
- Giger R, Landis BN, Dulguerov P. Hemorrhage risk after quinsy tonsillectomy. Otolaryngol Head Neck Surg 2005;133(5):729-34. google scholar
- Curtis JL, Harvey DB, Willie S, Narasimhan E, Andrews S, Henrichsen J, et al. Causes and costs for ED visits after pediatric adenotonsillectomy. Otolaryngol Head Neck Surg 2015;152(4):691-6. google scholar
- Zagólski O, Gajda M, Stręk P, Kozlowski MJ, Gądek A, Nyzio J. Adult tonsillectomy: postoperative pain depends on indications. Braz J Otorhinolaryngol 2016;82(5):589-95. google scholar
- Takwoingi YM, Shykhon M, Wake M. Effect of post-operative analgesia duration on post-tonsillectomy readmission rate: comparison of five-day and 14-day regime. J Laryngol Otol 2007;121(10):968-72. google scholar
- Deitmer T, Neuwirth C. [105 cases of post-tonsillectomy hemorrhage revisited]. Laryngorhinootologie 2010;89(7):424-8. google scholar
- Ikoma R, Sakane S, Niwa K, Kanetaka S, Kawano T, Oridate N. Risk factors for post-tonsillectomy hemorrhage. Auris Nasus Larynx 2014;41(4):376-9. google scholar
- Vyskocil E, Baumgartner WD, Ch Grasl M, Grasl S, Arnoldner C, Steyrer J, et al. Post-tonsillectomy hemorrhage: costbenefit analysis of prolonged hospitalization. Acta Otolaryngol 2020;140(7):597-602. google scholar
- Chorney SR, Weinberger R, Weintraub AY, Buzi A. Post-tonsillectomy hemorrhage and the diagnosis of occult pediatric coagulopathies. Laryngoscope 2021;131(6):E2069-73. google scholar
Abstract
Project Number
None
References
- Mattheeuws S, Duhamel S, Dhont K, Dhooge I, Van Hoecke H. Post-tonsillectomy hemorrhage: analysis of risk factors. B-ENT 2019;15:85-92. google scholar
- Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15.218 patients. Otolaryngol Head Neck Surg 2005;132(2):281-6. google scholar
- Morris S, Hassin E, Borschmann M. Overnight in-hospital observation following tonsillectomy: retrospective study of postoperative intervention. J Laryngol Otol 2018;132(1):46-52. google scholar
- Evans AS, Khan AM, Young D, Adamson R. Assessment of secondary haemorrhage rates following adult tonsillectomy-a telephone survey and literature review. Clin Otolaryngol Allied Sci 2003;28(6):489-91. google scholar
- Hoddeson EK, Gourin CG. Adult tonsillectomy: current indications and outcomes. Otolaryngol Head Neck Surg 2009;140(1):19-22. google scholar
- Bhattacharyya N, Kepnes LJ. Revisits and postoperative hemorrhage after adult tonsillectomy. Laryngoscope 2014;124 (7):1554-6. google scholar
- Seshamani M, Vogtmann E, Gatwood J, Gibson TB, Scanlon D. Prevalence of complications from adult tonsillectomy and impact on health care expenditures. Otolaryngol Head Neck Surg 2014;150(4):574-81. google scholar
- Galindo Torres BP, De Miguel García F, Whyte Orozco J. Tonsillectomy in adults: Analysis of indications and complications. Auris Nasus Larynx 2018;45(3):517-21. google scholar
- Verma R, Verma RR, Verma RR. Tonsillectomy-comparative study of various techniques and changing trend. Indian J Otolaryngol Head Neck Surg 2017;69(4):549-58. google scholar
- Tolska HK, Takala A, Pitkäniemi J, Jero J. Post-tonsillectomy haemorrhage more common than previously described--an institutional chart review. Acta Otolaryngol 2013;133(2):181-6. google scholar
- Xu S. The smoking history couldn’t be risk factors for posttonsillectomy hemorrhage in adult population. Am J Otolaryngol 2020;41(6):102713. google scholar
- Perkins JN, Liang C, Gao D, Shultz L, Friedman NR. Risk of posttonsillectomy hemorrhage by clinical diagnosis. Laryngoscope 2012;122(10):2311-5. google scholar
- Giger R, Landis BN, Dulguerov P. Hemorrhage risk after quinsy tonsillectomy. Otolaryngol Head Neck Surg 2005;133(5):729-34. google scholar
- Curtis JL, Harvey DB, Willie S, Narasimhan E, Andrews S, Henrichsen J, et al. Causes and costs for ED visits after pediatric adenotonsillectomy. Otolaryngol Head Neck Surg 2015;152(4):691-6. google scholar
- Zagólski O, Gajda M, Stręk P, Kozlowski MJ, Gądek A, Nyzio J. Adult tonsillectomy: postoperative pain depends on indications. Braz J Otorhinolaryngol 2016;82(5):589-95. google scholar
- Takwoingi YM, Shykhon M, Wake M. Effect of post-operative analgesia duration on post-tonsillectomy readmission rate: comparison of five-day and 14-day regime. J Laryngol Otol 2007;121(10):968-72. google scholar
- Deitmer T, Neuwirth C. [105 cases of post-tonsillectomy hemorrhage revisited]. Laryngorhinootologie 2010;89(7):424-8. google scholar
- Ikoma R, Sakane S, Niwa K, Kanetaka S, Kawano T, Oridate N. Risk factors for post-tonsillectomy hemorrhage. Auris Nasus Larynx 2014;41(4):376-9. google scholar
- Vyskocil E, Baumgartner WD, Ch Grasl M, Grasl S, Arnoldner C, Steyrer J, et al. Post-tonsillectomy hemorrhage: costbenefit analysis of prolonged hospitalization. Acta Otolaryngol 2020;140(7):597-602. google scholar
- Chorney SR, Weinberger R, Weintraub AY, Buzi A. Post-tonsillectomy hemorrhage and the diagnosis of occult pediatric coagulopathies. Laryngoscope 2021;131(6):E2069-73. google scholar
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Research Articles |
| Authors | |
| Project Number | None |
| Publication Date | December 31, 2023 |
| Submission Date | August 14, 2023 |
| Published in Issue | Year 2023 Volume: 33 Issue: 4 |
