Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques

Ömer Çelikal; Ergin Eroğlu; Rıza Önder Günaydın

doi:10.5152/ejra.2023.23091

Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques

Abstract

Objective: Tonsillectomy is a very common operation performed by otolaryngologists. Post-tonsillectomy hemorrhage continues to be a serious complication. The effects of age and surgical technique on this complication are still debated in the literature. The aim of this study was to compare post-tonsillectomy hemorrhage rates among pediatric age groups and different surgical techniques. Methods: Pediatric patients who underwent tonsillectomy were retrospectively analyzed. Four age groups (0-2 years—infancy; ≥ 3-6 years—early childhood; ≥ 7-10 years—middle childhood; ≥ 11-18 years—adolescence) and 3 surgical techniques (Coblation® intracapsular tonsillectomy, Monopolar diathermy, Cold knife dissection) were compared. Results: The mean age of 1371 patients included in the study was 5.9 (standard deviation = 3). Postoperative hemorrhage occurred in 3.7% of patients. In the early childhood period, bleeding was not observed in the Coblation® intracapsular tonsillectomy group, while it was 2% in the monopolar diathermy group and 4.2% in the cold knife dissection group (P = .047). Coblation® intracapsular tonsillectomy and monopolar diathermy groups were determined to be significantly lower bleeding in pre-adolescence and pre-middle childhood periods, respectively (P = .046, P = .011). Statistical difference was not found in hemorrhage rates among age groups in patients upon whom cold knife dissection was used (P = .766). Conclusions: Post-tonsillectomy hemorrhage is associated with pediatric age. The combination of cold and hot techniques makes it difficult to compare the 2 techniques. However, partial tonsillectomy using Coblation® causes less bleeding in pre-adolescence terms.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Ömer Çelikal This is me
0000-0002-7334-9292
Türkiye

Ergin Eroğlu
0000-0001-6846-4475
Türkiye

Rıza Önder Günaydın
0000-0002-1359-9994
Türkiye

Publication Date

August 28, 2023

Submission Date

May 25, 2023

Acceptance Date

June 28, 2023

Published in Issue

Year 2023 Volume: 6 Number: 2

DOI

https://doi.org/10.5152/ejra.2023.23091

IZ

https://izlik.org/JA43HD96WY

Cite

RIS / Bibtex

APA

Çelikal, Ö., Eroğlu, E., & Günaydın, R. Ö. (2023). Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques. European Journal of Rhinology and Allergy, 6(2), 45-48. https://doi.org/10.5152/ejra.2023.23091

AMA

1.Çelikal Ö, Eroğlu E, Günaydın RÖ. Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques. Eur J Rhinol Allergy. 2023;6(2):45-48. doi:10.5152/ejra.2023.23091

Chicago

Çelikal, Ömer, Ergin Eroğlu, and Rıza Önder Günaydın. 2023. “Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques”. European Journal of Rhinology and Allergy 6 (2): 45-48. https://doi.org/10.5152/ejra.2023.23091.

EndNote

Çelikal Ö, Eroğlu E, Günaydın RÖ (August 1, 2023) Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques. European Journal of Rhinology and Allergy 6 2 45–48.

IEEE

[1]Ö. Çelikal, E. Eroğlu, and R. Ö. Günaydın, “Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques”, Eur J Rhinol Allergy, vol. 6, no. 2, pp. 45–48, Aug. 2023, doi: 10.5152/ejra.2023.23091.

ISNAD

Çelikal, Ömer - Eroğlu, Ergin - Günaydın, Rıza Önder. “Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques”. European Journal of Rhinology and Allergy 6/2 (August 1, 2023): 45-48. https://doi.org/10.5152/ejra.2023.23091.

JAMA

1.Çelikal Ö, Eroğlu E, Günaydın RÖ. Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques. Eur J Rhinol Allergy. 2023;6:45–48.

MLA

Çelikal, Ömer, et al. “Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques”. European Journal of Rhinology and Allergy, vol. 6, no. 2, Aug. 2023, pp. 45-48, doi:10.5152/ejra.2023.23091.

Vancouver

1.Ömer Çelikal, Ergin Eroğlu, Rıza Önder Günaydın. Post-Tonsillectomy Hemorrhage in Pediatric Patients: Comparison of Age Groups and Surgical Techniques. Eur J Rhinol Allergy. 2023 Aug. 1;6(2):45-8. doi:10.5152/ejra.2023.23091