The effects of smoking on the rate of postoperative hemorrhage after tonsillectomy and uvulopalatopharyngoplasty

Archives of Otolaryngology--head & Neck Surgery
Sean M DemarsJames V Crawford

Abstract

To evaluate the rate of posttonsillectomy hemorrhage and any change that smoking causes in patients who undergo tonsillectomy. Retrospective chart review. Military tertiary referral center. The study included 1036 adult patients who underwent tonsillectomy either alone or in conjunction with another procedure. The rate of postoperative hemorrhage was reviewed in all patients who underwent tonsillectomy at our medical center, and an investigation was conducted to determine whether smoking caused any alteration in this rate. A total of 1010 patients were included in the study, with a total bleeding rate of 6.7%. There was a significant increase in the rate of bleeding in all patients when they were divided into smokers and nonsmokers (10.2% and 5.4%, respectively; P = .01). The large difference was found by subset analysis to be attributable to a marked increase in postoperative hemorrhage in the patients who underwent uvulopalatopharyngoplasty (10.9% in smokers vs 3.3% in nonsmokers; P = .006) and remained significant when they were further subdivided by sex. Men who underwent tonsillectomy alone also bled significantly more than women (11.2% and 5.4%, respectively; P = .02). All other subsets analyzed did not reach statistical ...Continue Reading

Citations

Jun 23, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Annekatrin CoordesMinoo Lenarz
Apr 3, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Meena SeshamaniDennis Scanlon
Dec 29, 2017·Journal of Orthopaedic Surgery and Research·Jinqian LiangFangliang Dong
Jun 27, 2013·Annals of Surgery·Marie GrønkjærTrine Flensborg-Madsen
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Yoshiaki InuzukaAkihiro Shiotani

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