Role of infection in late period post-tonsillectomy bleedings
Objectives: Tonsillectomy is one of the most common surgical procedure which is carried out by otorhinolaryngologists. One of the complications is bleeding seen in between 0.3% and 13.9%. Bleedings in first 24 hours are defined as primary while the ones after 24 hours are defined as secondary. Prima...
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| Format: | Article |
| Language: | English |
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Galenos Yayincilik
2012-12-01
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| Series: | Turkish Archives of Otorhinolaryngology |
| Subjects: | |
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http://turkarchotolaryngol.net/archives/archive-detail/article-preview/role-of-infection-in-late-period-post-tonsillectom/43463
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| _version_ | 1828029626092355584 |
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| author | Fatih Özdoğan Fazıl Emre Özkurt Talih Özdaş Muhammed Fatih Evcimik Alper Yenigün |
| author_facet | Fatih Özdoğan Fazıl Emre Özkurt Talih Özdaş Muhammed Fatih Evcimik Alper Yenigün |
| author_sort | Fatih Özdoğan |
| collection | DOAJ |
| description | Objectives: Tonsillectomy is one of the most common surgical procedure which is carried out by otorhinolaryngologists. One of the complications is bleeding seen in between 0.3% and 13.9%. Bleedings in first 24 hours are defined as primary while the ones after 24 hours are defined as secondary. Primary bleedings are more likely to be associated with surgical technique and secondary bleedings are thought to be due to trauma during wound healing, solid food intake and idiopathic reasons.Methods: Two hundred and two patients who had tonsillectomy between March 2011 and November 2012 were included in the study. Patients had ear-nose-throat examination and there was no evidence of infection before the surgery. Only one surgical technique is performed by the same surgeon to all patients in the same hospital (cold knife). Complete blood count and CRP values were obtained in 11 patients who had bleeding after tonsillectomy.Results: In 202 patients who had tonsillectomy, 88 (43.5%) of them were female and 114 (56.5%) of them were male. The average of age was 7.5 (3-42). In first postoperative 24 hours, no bleeding was observed, whereas after 24 hours 11 patients presented with bleeding (5.4%). The average of the patients presenting with bleeding was 16.9 (6-33), 3 (27%) of them were female and 8 (83%) of them were male, average number of days of admission in a hospital was 10.8. Increased WBC count was not observed in 1 patient, whereas in 10 patient, WBC count was increased (p<0.05). WBC count was with neutrophil dominance in all these 10 patients. Similarly, no increase was observed in 1 patient’s CRP value, whereas other patients had significant increase in CRP values (p<0.05).Conclusion: Tonsillectomy is a frequently performed surgical procedure in otorhinolaryngology practice. Bleeding after surgery occurs due to several reasons and one of them is infection. Despite the antibiotic use after the procedure, we may encounter these complications in late period. |
| first_indexed | 2024-04-10T14:14:08Z |
| format | Article |
| id | doaj.art-529d3f4e4ddf4e7ca3afb7bec8d72536 |
| institution | Directory Open Access Journal |
| issn | 2667-7474 |
| language | English |
| last_indexed | 2024-04-10T14:14:08Z |
| publishDate | 2012-12-01 |
| publisher | Galenos Yayincilik |
| record_format | Article |
| series | Turkish Archives of Otorhinolaryngology |
| spelling | doaj.art-529d3f4e4ddf4e7ca3afb7bec8d725362023-02-15T16:09:37ZengGalenos YayincilikTurkish Archives of Otorhinolaryngology2667-74742012-12-01504636510.5152/tao.2012.1913049054Role of infection in late period post-tonsillectomy bleedingsFatih Özdoğan0Fazıl Emre Özkurt1Talih Özdaş2Muhammed Fatih Evcimik3Alper Yenigün4 Silvan Devlet Hastanesi, Kulak Burun Boğaz Kliniği, Diyarbakır Yenimahalle Devlet Hastanesi, Kulak Burun Boğaz Kliniği, Ankara Dicle Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, Diyarbakır İstanbul Nisa Hastanesi, Kulak Burun Boğaz Kliniği, İstanbul Karaman Devlet Hastanesi, Kulak Burun Boğaz Kliniği, Karaman Objectives: Tonsillectomy is one of the most common surgical procedure which is carried out by otorhinolaryngologists. One of the complications is bleeding seen in between 0.3% and 13.9%. Bleedings in first 24 hours are defined as primary while the ones after 24 hours are defined as secondary. Primary bleedings are more likely to be associated with surgical technique and secondary bleedings are thought to be due to trauma during wound healing, solid food intake and idiopathic reasons.Methods: Two hundred and two patients who had tonsillectomy between March 2011 and November 2012 were included in the study. Patients had ear-nose-throat examination and there was no evidence of infection before the surgery. Only one surgical technique is performed by the same surgeon to all patients in the same hospital (cold knife). Complete blood count and CRP values were obtained in 11 patients who had bleeding after tonsillectomy.Results: In 202 patients who had tonsillectomy, 88 (43.5%) of them were female and 114 (56.5%) of them were male. The average of age was 7.5 (3-42). In first postoperative 24 hours, no bleeding was observed, whereas after 24 hours 11 patients presented with bleeding (5.4%). The average of the patients presenting with bleeding was 16.9 (6-33), 3 (27%) of them were female and 8 (83%) of them were male, average number of days of admission in a hospital was 10.8. Increased WBC count was not observed in 1 patient, whereas in 10 patient, WBC count was increased (p<0.05). WBC count was with neutrophil dominance in all these 10 patients. Similarly, no increase was observed in 1 patient’s CRP value, whereas other patients had significant increase in CRP values (p<0.05).Conclusion: Tonsillectomy is a frequently performed surgical procedure in otorhinolaryngology practice. Bleeding after surgery occurs due to several reasons and one of them is infection. Despite the antibiotic use after the procedure, we may encounter these complications in late period. http://turkarchotolaryngol.net/archives/archive-detail/article-preview/role-of-infection-in-late-period-post-tonsillectom/43463 tonsillectomybleedinginfection |
| spellingShingle | Fatih Özdoğan Fazıl Emre Özkurt Talih Özdaş Muhammed Fatih Evcimik Alper Yenigün Role of infection in late period post-tonsillectomy bleedings Turkish Archives of Otorhinolaryngology tonsillectomy bleeding infection |
| title | Role of infection in late period post-tonsillectomy bleedings |
| title_full | Role of infection in late period post-tonsillectomy bleedings |
| title_fullStr | Role of infection in late period post-tonsillectomy bleedings |
| title_full_unstemmed | Role of infection in late period post-tonsillectomy bleedings |
| title_short | Role of infection in late period post-tonsillectomy bleedings |
| title_sort | role of infection in late period post tonsillectomy bleedings |
| topic | tonsillectomy bleeding infection |
| url |
http://turkarchotolaryngol.net/archives/archive-detail/article-preview/role-of-infection-in-late-period-post-tonsillectom/43463
|
| work_keys_str_mv | AT fatihozdogan roleofinfectioninlateperiodposttonsillectomybleedings AT fazılemreozkurt roleofinfectioninlateperiodposttonsillectomybleedings AT talihozdas roleofinfectioninlateperiodposttonsillectomybleedings AT muhammedfatihevcimik roleofinfectioninlateperiodposttonsillectomybleedings AT alperyenigun roleofinfectioninlateperiodposttonsillectomybleedings |