Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

편도적출술후 출혈에 관한 임상적 고찰

양윤수1,*, 소상수1, 이은정1, 김진성1, 이화욱1, 홍기환1
Yoon Soo Yang1,*, Sang Soo So1, Eun Jeong Lee1, Jin Sung Kim1, Hwa Uk Lee1, Ki Hwan Hong1
1전북대학교 의과대학 이비인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Chonbuk National University, Jeonju, Korea
*교신저자: 양윤수, 561-712 전북 전주시 덕진구 금암동 634-18 전북대학교 의과대학 이비인후-두경부외과학교실 전화: (063) 250-1980·전송: (063) 250-1986 E-mail: yang2002@dreamwiz.com

© Copyright 2006 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 23, 2006; Accepted: May 26, 2006

Published Online: May 31, 2020

ABSTRACT

Backgroud and Objectives: Tonsillectomy with and without adenoidectony is a frequently performed operation. Hemorrhage is the most common and serious complication following tonsillectomy. This study was developed to characterize the patient population of posttonsillectomy hemorrhage and to review the information we give to patients and to the parients of patients receiving a tonsillectomy. Materials and Methods: We retrospectively reviewed the inpatient charts treated at our ENT department for posttonsillectomy hemorrhage. 68 po sttonsillectomy hemorrhages from a population of 2,437 tonsillectomies were identified from January 1995 to December 2004. Results: Incidence of po sttonsillectomy hemorrhage in this series was 2.7%, of which the primary and secondary types accounted for 7% and 93%, respectively. Incidence of bleeding was more common in male patients, operation in lower grade of residents and September to December of months. The incidence of po sttonsillectomy hemorrhage increased with age, peaking at 26—30 years in both male and female, with statistically significant difference between the two sexes (p=0.038). The majority of posttonsillectomy hemorrhages presented between the fourth and ninth day after operation (67%). The majority of po sttonsillectomy hemorrhages were controlled with conservative treatment (62%). Conclusion: These results now provide the basis for informed consent for a tonsillectomy in our department. (J Clinical Otolaryngol 2006;17:89–93)

Keywords: 편도적출술; 출혈
Keywords: Tonsillectomy; Hemorrhage