Unidentified Coagulation Disorders in Post-Tonsillectomy Hemorrhage

Author:

Windfuhr Jochen P.1,Chen Yue-Shih2,Remmert Stephan1

Affiliation:

1. Department of Otorhinolaryngology–Plastic Head and Neck Surgery, St. Anna Hospital, Duisburg, Germany

2. Department of Otorhinolaryngology–Plastic Head and Neck Surgery, University Hospital, Aachen, Germany (Dr. Chen).

Abstract

We conducted a retrospective study of 6,966 patients who had undergone tonsillectomy or adenotonsillectomy to evaluate the incidence and clinical features of previously unidentified coagulation disorders in patients who experienced postoperative hemorrhage (n = 201). We found that post-tonsillectomy hemorrhage secondary to unidentified coagulation disorders is extremely rare. However, normal coagulation values and an insignificant history do not rule out coagulation disorders. If diffuse, persistent, and bilateral bleeding is not related to arterial hypertension, dissection technique, or local infection, a rapid and detailed analysis of coagulation factors should be considered.

Publisher

SAGE Publications

Subject

Otorhinolaryngology

Reference35 articles.

1. Tonsillectomy, adenoidectomy and adenotonsillectomy: Are they safe day case procedures?

2. Clinical indicators compendium 2000. Alexandria, Va.: American Academy of Otolaryngology–Head and Neck Surgery, 2000: 19.

3. Todesfälle nach Tonsillektomie und Adenotomie

4. Tonsillectomy and Adenoidectomy Inpatient Guidelines. Recommendations of the AAO–HNS Pediatric Otolaryngology Committee. Alexandria, Va.: American Academy of Otolaryngology–Head and Neck Surgery, 1996: 1–4.

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