Retrospective cohort study on postoperative hemorrhage following tonsillectomy in cold dissection technique with or without the use of a microscope

• Conditions: J35.0; tonsillectomy in cold dissection technique; Chronic tonsillitis

• Registration Number: DRKS00010076
• Lead Sponsor: Klinik für HNO-HeilkundeSana Kliniken Leipziger Land

Brief Summary

Background. Posttonsillectomy hemorrhage (PTH) is the most feared complication. Dissection near the tonsillar capsule under microscopic view (TEmic) could be assumed to decrease PTH compared to traditional tonsillectomy (TEtrad). Methods. In this study, patients were evaluated with respect to the need for surgical control (R/N: return/no return to theater (RTT): the day of surgery [0] or thereafter [1]). The findings at resection site and pain were measured. Results. 869 patients were included (183 TEmic; 686 TEtrad). PTH requiring RTT was not seen in the TEmic group on the day of surgery (R0) while PTH requiring RTT subsequently (R1) was seen in 1.1% of the cases. In the TEmic group, hemorrhages without a need for surgical control were observed in 0.6% (N0) and 3.4% (N1), respectively.The corresponding rates for TEtrad were as follows: R0, 0.3%; R1, 1.7%; N0, 0.6%; and N1, 3.6% ( > 0.05). Postoperative edema and local infection at resection site were proven to be predictive of PTH ( = 0.007). Conclusion.Microscope assistance in tonsillectomy did not statistically have an influence on the PTH even though there was a trend towards lower PTH rate in the TEmic group. Benefit for TEmic was observed in high-volume and long experienced surgeons.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-03-02
• Study Completion: 2016-05-06
• Results First Posted: 2017-08-08
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 869

Inclusion Criteria

Indications for tonsillectomy:
chronic-hyperplastic Tonsillitis,
chronic-recuttent tonsilltis,
chronic tonsillitis,
peri-/parapharyngeal abscess

Exclusion Criteria

known disturbances of coagulation, bleeding disorders

Study & Design

• Study Type: observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
postoperative hemorrhage following tonsillectomy

Secondary Outcome Measures

Name	Time	Method
complete healing of the wound