Abstract | OBJECTIVE: DESIGN: Retrospective medical record review. SETTING: Military tertiary referral center. PATIENTS: Adult patients identified in our surgical database from June 1, 2000, through September 31, 2005, who had undergone tonsillectomy or uvulopalatopharyngoplasty with tonsillectomy (UPPPT) either alone or with synchronous nasal surgery. MAIN OUTCOME MEASURES: The rate of posttonsillectomy hemorrhage was reviewed in all patients who underwent tonsillectomy or UPPPT at our medical center, and an investigation was conducted to determine whether synchronous nasal surgery altered this rate. RESULTS: A total of 1010 patients were included in this study, with a rate of posttonsillectomy hemorrhage of 5.5%. A total of 204 patients underwent synchronous nasal surgery. No significant difference was found between the hemorrhage rate in patients who underwent tonsillectomy or UPPPT alone and those who underwent synchronous nasal surgery (6.0% and 3.9%, respectively; P = .30). When these patients were further divided into those undergoing UPPPT and those undergoing synchronous nasal surgery, no significant difference in hemorrhage rate was found (6.2% and 2.0%, respectively; P = .06). CONCLUSIONS:
|
Authors | Mary Theresa A Adams, Michael J Wilhelm, Sean M Demars, Wayne J Harsha |
Journal | Archives of otolaryngology--head & neck surgery
(Arch Otolaryngol Head Neck Surg)
Vol. 135
Issue 9
Pg. 936-9
(Sep 2009)
ISSN: 1538-361X [Electronic] United States |
PMID | 19770429
(Publication Type: Comparative Study, Journal Article)
|
Topics |
- Adolescent
- Adult
- Combined Modality Therapy
- Female
- Follow-Up Studies
- Humans
- Incidence
- Male
- Middle Aged
- Nose Diseases
(diagnosis, surgery)
- Otorhinolaryngologic Surgical Procedures
(adverse effects, methods)
- Palate
(surgery)
- Pharynx
(surgery)
- Postoperative Hemorrhage
(epidemiology, etiology, prevention & control)
- Probability
- Reference Values
- Registries
- Retrospective Studies
- Risk Assessment
- Tonsillectomy
(adverse effects, methods)
- Tonsillitis
(diagnosis, surgery)
- Treatment Outcome
- Uvula
(surgery)
- Young Adult
|