Incidence of haemorrhage after tonsillectomy

  • Mohammad Shah Kamal Junior Consultant (ENT), Shaheed Shamsuddin Ahmed Hospital (Sadar hospital), Sylhet
  • Rubina Farzana Indoor Medical Officer, Pediatrics, MAG Osmani Medical College Hospital, Sylhet
  • Abu Hena Mohammad Parvez Humayun OSD, DGHS, Otolaryngology ? Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • AHM Zahurul Huq Senior Consultant, Otolaryngology ? Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Mostafizur Rahman OSD, DGHS, Otolaryngology ? Head & Neck Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
Keywords: Tonsillectomy, Haemorrhage

Abstract

Tonsillectomy is probably the most common operation performed by an Otolaryngologist. One of the most significant complications is post-operative haemorrhage. Episodes of post tonsillectomy haemorrhage are unpredictable and sometimes life threatening. The aim of the present study was to find out the incidence of reactionary haemorrhage after tonsillectomy. A prospective study was conducted at Shaheed Shamsuddin Ahmed Hospital, Sylhet from April 2010 to March 2011. We had selected 112 cases undergoing tonsillectomy. Tonsillectomy was done by cold steel dissection technique and bipolar diathermy haemostasis. Post operatively every patient was treated with pain killer (diclofenac sodium and paracetamol), antibiotics (amoxicillin and cloxacillin) and hydrogen peroxide mouth wash. Postoperative follow-up was done till the tonsillar fossa healed. The incidence of reactionary haemorrhage was 2.68%, primary and secondary haemorrhage was 0%. In our series haemorrhage (2.68%) was higher than that reported in most publications and may be due to inadequate per-operative haemostasis. 

DOI: http://dx.doi.org/10.3329/bjo.v18i1.10415  

Bangladesh J Otorhinolaryngol 2012; 18(1): 55-58

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Abstract
399
PDF
331
Published
2012-04-20
How to Cite
Kamal, M., Farzana, R., Humayun, A. H., Huq, A., & Rahman, M. (2012). Incidence of haemorrhage after tonsillectomy. Bangladesh Journal of Otorhinolaryngology, 18(1), 55-58. https://doi.org/10.3329/bjo.v18i1.10415
Section
Original Articles