PMID: 11335006May 4, 2001Paper

Hemorrhage following pediatric tonsillectomy before puberty

International Journal of Pediatric Otorhinolaryngology
Jochen P Windfuhr, Y S Chen

Abstract

Control of postoperative bleeding, considered as the major complication following tonsillectomy, serves as a landmark for the safety of the operation. There is a constant decrease of the concentration of hemoglobin during childhood with lowest values around 6 years of age with normal values at the beginning of puberty accompanied by a constant decrease of the number of platelets after birth. Dehydration, poor oral intake and airway problems are predominant complications in early childhood. A retrospective study was undertaken to evaluate if the incidence of bleeding is associated with certain age groups in pediatric patients. We assessed if there is a questionable higher risk for blood transfusions due to the age-specific lower hemoglobin concentration in children. Between January 1988 and August 2000, 2330 patients under 12 years of age underwent tonsillectomy, with or without adenoidectomy, in St. Anna Hospital, Duisburg. Group A (age<6 years) consisted of 1467 patients of whom 59.6% were male. Group B (aged 6-12 years) consisted of 863 patients, of whom 48.1% were male. Postoperative bleeding from the tonsillar fossae requiring treatment under general anesthesia occurred in group A (1%) and B (2.3%). Bleeding from the adenoi...Continue Reading

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Citations

Sep 21, 2002·International Journal of Pediatric Otorhinolaryngology·Marco BerlucchiRodney P Lusk
Aug 7, 2013·Emergency Medicine Clinics of North America·Michael J Stoner, Marlie Dulaurier
Dec 26, 2009·Auris, Nasus, Larynx·Dong Wook KimJeong-Whun Kim
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