International Journal of Medical Research & Health Sciences
  • Year: 2019
  • Volume: 8
  • Issue: 12

Post-tonsillectomy bleeding: Assessing the merit of some risk factors in a series of saudi patients

  • Author:
  • Abdullah D Alotaibi1, Fahad Nashmi Alshammari2, Saleh Ahmed Saleh Alammari1, Ali M. Alshdokhi1, Turki S. Aljuhani1, Talal Banan Alanazi1, Hussain Gadelkarim Ahmed13,
  • Total Page Count: 8
  • Page Number: 60 to 67

1College of Medicine, University of Hai’l, Saudi Arabia

2King Khalid Hospital, Department of Otolaryngology-Head and Neck Surgery, Hai’l, Saudi Arabia

3Department of Histopathology and Cytology, FMLS, University of Khartoum, Sudan

*Corresponding e-mail: hussaingad5@gmail.com

Online published on 1 October, 2020.

Abstract

Post-tonsillectomy bleeding is a commonly encountered problem due to several risk factors. This study aimed to assess the burden of post-tonsillectomy bleeding and its possible hematological risk factors in Saudi Arabia.

This is a retrospective study involved a series of 311 patients who attended with evidencebased indications of tonsillectomy and subsequently underwent surgical removal of the tonsils, with or without adenoidectomy (adeno/tonsillectomy). All of the patients underwent bipolar diathermy surgical techniques.

Out of the 311 patients, 67.5% underwent tonsillectomy and 32.5% underwent adenotonsillectomy. Post-tonsillectomy bleeding was experienced in 5.8% patients, 6.9% were males and 4% were females. The males’ risk (relative risk (RR)) of Post-tonsillectomy bleeding and the 95% confidence interval 95% CI): RR (95% CI)=1.7011 (0.6220 to 4.6521), p=0.3007.

The prevalence of post-tonsillectomy bleeding is relatively higher in Saudi Arabia than the reported values in most studies. Factors such as post-operative infection, use of bipolar diathermy technique, and pain might be incriminated in the reported cases of postoperative bleeding in the current study.

Keywords

Post-tonsillectomy bleeding, Tonsillectomy, Adenoidectomy, Saudi Arabia, Posttonsillectomy hemorrhage