Post-Tonsillectomy Bleeding
Conditions
Brief summary
Post-tonsillectomy hemorrhage (PTH) is one of the most common and potentially life-threatening complications of tonsillectomy. * Secondary PTH (Bleeding occurring \>24 hours post-operatively) is of particular clinical significance. * Tonsillectomy is a frequently performed procedure at Assiut University Hospital (AUH). * However, no local prospective data exists comparing secondary PTH rates across techniques, or systematically characterizing its causes. * This study addresses this gap by comparing rates, and analysis of causes.
Interventions
None listed
Sponsors
Assiut University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Secondary PTH (bleeding \>24 hours post-tonsillectomy) * Tonsillectomy surgical technique: cold steel, bipolar diathermy, or Coblation * Any patient age (pediatric and adult patient are included) * Presenting to the AUH Emergency Department or ENT clinic Informed consent obtained (written parental consent + written child assent for patients under 18 years)
Exclusion criteria
* Primary PTH (bleeding ≤24 hours post-op) * Tonsillectomy technique other than the three study techniques (e.g., laser, harmonic scalpel) * External approach tonsillectomy * Known bleeding disorder (pre-existing coagulopathy) * Concurrent head and neck malignancy * Refusal of informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| secondary post-tonsillectomy hemorrhage | 10 day | bleeding from the throat that happens more than 24 hours after surgery, most commonly between 5 and 10 days post-op |
Outcome results
None listed