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Int J Pediatr Otorhinolaryngol. 2013 Jun;77(6):959-63. doi: 10.1016/j.ijporl.2013.03.017. Epub 2013 Apr 10.

Post-tonsillectomy hemorrhage in children with hematological abnormalities.

Author information

1
University of Texas - Medical Branch at Galveston, United States. narennv@gmail.com

Abstract

OBJECTIVE:

Tonsillectomy is a common procedure performed in children with the main complication being post-operative hemorrhage. It is uncertain if patients with hematological abnormalities face a higher risk of post-operative hemorrhage.

STUDY DESIGN:

Retrospective chart review.

SETTING:

Tertiary referral hospital.

PATIENTS SELECTED:

All patients with a known hematologic disorder as well as children without a hematologic abnormality undergoing tonsillectomy with or without adenoidectomy in the past two years at our institution were included in this study.

MAIN OUTCOME MEASURE:

We sought to determine whether children with hematologic disorders are at an increased risk of post-operative hemorrhage after surgery.

RESULTS:

Four-hundred and sixty-two patients were identified who underwent a tonsillectomy during this time period. Fourteen patients with hematological abnormalities were identified with only one patient suffering a post-tonsillectomy hemorrhage. All patients with abnormal laboratory values prior surgery underwent medical treatment in conjunction with pediatric hematology and did not suffer a post-tonsillectomy hemorrhage. Despite a small study group, the low incidence (1/14) of post-tonsillectomy hemorrhage in patients with hematological abnormalities suggests that these patients may not be at an increased risk, especially if appropriately evaluated and treated pre-operatively.

CONCLUSION:

Despite small sample size the results of our study suggest that patients with coagulation disorders may not have an increased risk of post-tonsillectomy hemorrhage when evaluated and corrected pre-operatively.

PMID:
23582539
DOI:
10.1016/j.ijporl.2013.03.017
[Indexed for MEDLINE]
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