Ünsal Nuri, Baldır Esma Hande, Bulut Çöbden Serap, Kantekin Yunus, Kaya Altan, Yaşar Mehmet, Özcan İbrahim, Bayram Ali
University of Health Sciences Türkiye, Kayseri City Training and Research Hospital, Department of Otorhinolaryngology, Kayseri, Türkiye.
Turk Arch Otorhinolaryngol. 2025 Jun 27;63(2):75-79. doi: 10.4274/tao.2025.2025-2-7. Epub 2025 Jun 19.
This study was conducted to retrospectively analyze pediatric tonsillectomy in patients aged <18 years treated over the past five years, focusing on factors such as sex, surgical method, season of occurrence, transfusion requirement, and surgical intervention in patients presenting with post-tonsillectomy hemorrhage.
Tonsillectomies performed in the Otorhinolaryngology Clinic of the Kayseri City Training and Research Hospital between June 2019 and June 2024 were retrospectively analyzed using the hospital information management system. Patients re-admitted for post-tonsillectomy secondary hemorrhage were identified, including those managed conservatively, requiring surgical intervention, and/or needing blood transfusion. Hemorrhage incidents were categorized by season (warm: March-August; cold: September-February), and hemorrhage rates were calculated. Surgical methods and the first surgical techniques in patients presenting with hemorrhage were recorded.
In total, 4,994 tonsillectomies had been performed in the study period. Sixty patients (1.20%) were re-admitted and hospitalized due to postoperative hemorrhage, of whom 22 (0.44%) were reoperated and 38 (0.76%) were managed conservatively. Ten patients (0.20%) needed transfusion. Of the patients presenting with hemorrhage, 39 (65%) were admitted during the warm season, and 21 (35%) during the cold season. The cold dissection technique was used in 95.03% of the cases, with a hemorrhage rate of 1.2%.
Tonsillectomy is a common procedure worldwide and post-tonsillectomy hemorrhages are a frequent complication. Reducing morbidity and mortality through preventive strategies is crucial. Patients presenting with post-tonsillectomy hemorrhage should be hospitalized, monitored closely, and evaluated with hemogram and coagulation tests to assess hemorrhage volume and transfusion needs.
本研究旨在回顾性分析过去五年中18岁以下儿童扁桃体切除术患者的情况，重点关注性别、手术方法、发病季节、输血需求以及扁桃体切除术后出血患者的手术干预等因素。
利用开塞利市培训与研究医院耳鼻喉科诊所的医院信息管理系统，对2019年6月至2024年6月期间进行的扁桃体切除术进行回顾性分析。确定因扁桃体切除术后继发性出血再次入院的患者，包括保守治疗、需要手术干预和/或需要输血的患者。出血事件按季节分类（温暖季节：3月至8月；寒冷季节：9月至2月），并计算出血率。记录手术方法以及出血患者的首次手术技术。
在研究期间共进行了4994例扁桃体切除术。60例患者（1.20%）因术后出血再次入院并住院，其中22例（0.44%）接受了再次手术，38例（0.76%）接受了保守治疗。10例患者（0.20%）需要输血。在出血患者中，39例（65%）在温暖季节入院，21例（35%）在寒冷季节入院。95.03%的病例采用冷剥离技术，出血率为1.2%。
扁桃体切除术在全球范围内是一种常见手术，扁桃体切除术后出血是一种常见并发症。通过预防策略降低发病率和死亡率至关重要。扁桃体切除术后出血的患者应住院，密切监测，并通过血常规和凝血检查进行评估，以评估出血量和输血需求。
