Affiliation:
1. Department of Otolaryngology Russells Hall Hospital Dudley UK
2. Department of Otolaryngology Walsall Manor Hospital Walsall UK
Abstract
ObjectiveAbscess tonsillectomy is performed during an active episode of quinsy. Apprehensions regarding an elevated bleeding risk have hindered its widespread acceptance. This study aims to assess the prevalence of post‐tonsillectomy bleeding (PTB) associated with abscess tonsillectomy.Data SourcesA search was performed on August 27, 2023 in Medline, Embase, PubMed, Cochrane CENTRAL, and Web of Science databases.Review MethodsThe systematic review was conducted in adherence to the PRISMA guidelines. Pooled PTB rate was determined using a meta‐analysis of proportions. The JBI tool was used to assess the quality of the included studies.ResultsOf the 525 search records, 18 studies met the eligibility criteria for final analysis. These comprised of retrospective single‐center analyses. The pooled prevalence of PTB was 6.65% (95% C.I. 4.01–9.81), and the return‐to‐theatre rate was 2.35% (95% C.I. 1.48–3.37). There was no difference in PTB rate between unilateral and bilateral tonsillectomy. However, the bipolar technique was associated with a higher PTB rate compared to cold steel dissection. The overall quality of the body of evidence was moderate.ConclusionOur study highlights the complications associated with abscess tonsillectomy. These findings contribute valuable insights into this potential treatment option for quinsy.Level of EvidenceN/A Laryngoscope, 134:4186–4195, 2024