The relationship between posttonsillectomy bleeding to hemogram and coagulation parameters

• Published in: European archives of oto-rhino-laryngology 2024-05, Vol.281 (5), p.2569-2574
• Main Authors: Güllüev, Mustafa, Yücel, Abitter, Demirci, Berat, Kaplan, Duygu, Özdemir, Latif Emre
• Format: Article
• Language: English
• Subjects: Adult; Child; Head and Neck; Head and Neck Surgery; Humans; Medicine; Medicine & Public Health; Neurosurgery; Otorhinolaryngology; Palatine Tonsil; Postoperative Hemorrhage - diagnosis; Postoperative Hemorrhage - epidemiology; Postoperative Hemorrhage - etiology; Retrospective Studies; Risk Factors; Tonsillectomy - adverse effects; Tonsillectomy - methods
• ISSN: 0937-4477; 1434-4726
• DOI: 10.1007/s00405-024-08487-2

Purpose Tonsillectomy is a common surgery performed for indications such as chronic tonsilitis, tonsil hypertrophy and obsructive sleep apnea. Although posttonsillectomy bleeding (PTB) is rare and can be controlled with simple interventions in many patients, it is one of the most feared complications of tonsillectomy surgery. In our study, we investigated the effects of changes in hemogram and coagulation values and seasonal effects on PTB. Methods Pediatric and adult patients who underwent tonsillectomy with cold knife method between August 2020 and August 2023 in our clinic were retrospectively reviewed. Demographic data, hemogram and coagulation values of the patients in the control and study groups were recorded and the differences between the two groups in terms of these parameters were evaluated. Results Our study included 991 patients aged 1–51 years. The rate of PTB was calculated as 2.82%. No patient with primary PTB was found. The duration of bleeding development was 7.03 days. Age, WBC and neutrophil values were statistically significantly higher in the study group. There were no significant differences between two groups in terms of gender, season and other hemogram and coagulation parameters. Conclusions Age, high WBC and neutrophil levels were determined as possible risk factors for PTB. Seasonal and gender distribution, aPTT and INR values were similar in the two groups. In order to prevent and predict bleeding, detailed infection investigation should be performed and the risk of bleeding should be considered to increase with increasing age.