Hemorrhage Risk After Quinsy Tonsillectomy

Giger, Roland; Landis, Basile Nicolas; Dulguerov, Pavel

doi:10.1016/j.otohns.2005.07.013

Cited by 40 publications

(29 citation statements)

References 23 publications

(53 reference statements)

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“…This study investigated the different risk factors for PTH after TE and abscess-TE. In accordance with the literature, no significant relationship was found between PTH and smoking [34], regular alcohol consumption, diabetes, hypertension [35], antihypertensive therapy, postoperative pain medication with NSAIDs (COX1 inhibitor) [8,36] or opioids [8], application of glucocorticoids [8,37], therapy with antibiotics [10,38], duration of hospital stay [24,39] and surgeon experience [15]. The only significant risk factor for PTH was being male, which is in line with other research groups [6][7][8][9][10][11][12][13], although others did not find a significant correlation [14][15][16][17][18].…”

Section: Discussionsupporting

confidence: 90%

Gender-specific risk factors in post-tonsillectomy hemorrhage

Coordes

Soudry

Hofmann

et al. 2016

Eur Arch Otorhinolaryngol

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There are gender-specific differences in the frequency and course of different diseases. Specifically, some studies have shown an increased risk of post-tonsillectomy hemorrhage (PTH). The aim of the study was to investigate gender-specific risk factors for hemorrhage after tonsillectomy (TE)/abscess-TE. We anonymously reviewed and recorded the relevant data of all patients (≥14 years) who underwent a TE/abscess-TE between 2011 and 2013 in the ENT Clinic of the Charité Universitätsmedizin Berlin, Campus Benjamin Franklin. A patient survey was used to complete missing data. We analyzed gender-specific risk factors for PTH. During the study period, 460 operations were performed and the data of 250 patients were analyzed (213 TE and 37 abscess-TE). The median patient age was 27 years (ranging from 14 to 83 years). The rate of primary PTH (<24 h after TE/abscess-TE) was 3 %, and the rate of secondary PTH (>24 h) was 23 %. A significantly higher PTH rate was associated with males (p = 0.037), which was still apparent in ages 21-30 after sub-classification. Multivariate analysis calculated diagnosis, regular alcohol consumption and administration of glucocorticoids to be independent risk factors associated with gender. In conclusion, the PTH rate is gender-specific, and male patients are at higher risk, especially in young adulthood. Therefore, doctors should advise male patients of the increased risk of bleeding and stress the importance of compliance. Also, close postoperative follow-up is desirable.

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Section: Discussionsupporting

confidence: 90%

Gender-specific risk factors in post-tonsillectomy hemorrhage

Coordes

Soudry

Hofmann

et al. 2016

Eur Arch Otorhinolaryngol

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“…14,16,17,19 Only Giger et al reported a higher haemorrhagic complication rate after immediate tonsillectomy, compared with elective tonsillectomy; however, this high incidence was mainly due to patients with prior aspirin intake (because of pain) or bleeding contralateral to the abscess. 20 These authors suggested that unilateral immediate tonsillectomy should be performed to reduce the risk of contralateral morbidity.…”

Section: Published Datamentioning

confidence: 99%

“…[3][4][5][6][7][8][9][10][11][12][13] Immediate tonsillectomy remains controversial, although several publications have reported the efficacy and safety of this technique as first-line treatment for peritonsillar abscess. [14][15][16][17][18][19][20][21] Immediate tonsillectomy has become a routine procedure for the management of peritonsillar abscess in our department, since its introduction in early 2007. 2 We have decided to extend the indication for immediate tonsillectomy to include firstline treatment of parapharyngeal abscess, and the early results of this procedure are presented in this paper.…”

Section: Introductionmentioning

confidence: 99%

Immediate tonsillectomy: indications for use as first-line surgical management of peritonsillar abscess (quinsy) and parapharyngeal abscess

et al. 2010

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Immediate tonsillectomy appears to be a safe and effective surgical technique for the management of peritonsillar and parapharyngeal abscess; in particular, it markedly reduces patients' hospital stay (when performed early in the course of the disease) and duration of antibiotic therapy. Immediate tonsillectomy has become the first-line treatment for parapharyngeal abscess and several types of peritonsillar abscess in our department.

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“…5,19 In all of our patients improvement was achieved after surgery and antibiotic therapy with amoxicillin with clavulanic acid. Diagnostic imaging may include computer tomography 11,17,20 but it seems that the main indication for hot tonsillectomy is lack of expected clinical improvement in spite of proper treatment.…”

Section: -17mentioning

confidence: 71%