Open Access
CC BY-NC-ND 4.0 · Laryngorhinootologie 2018; 97(S 02): S60
DOI: 10.1055/s-0038-1639920
Poster
Hals: Neck

Retrospective study on the occurrence of post-operative haemorrhage after adenectomy and tonsillectomy

Autor*innen

  • M Thranitz

    1   Städtisches Klinikum Dessau, Dessau-Roßlau

  • F Michaelis

    2   ÖNH-Kliniken Universitetssjukhuset, Linköping, Schweden

  • S Knipping

    1   Städtisches Klinikum Dessau, Dessau-Roßlau
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Introduction:

Due to the possible serious complications of bleeding after adenotonsillectomy, a preoperative minimization of risks by identifying coagulation disorders as well as the detection of congenital blood-clotting anomalies are essential.

Methods:

A retrospective analysis of pseudonymised data of 308 children and adolescents of the University ENT Clinic Halle (Saale) was made. In particular, the preoperative diagnostics on the basis of a specific anamnesis sheet for the parents and, depending on their abnormalities, the serological coagulation diagnostics of the patients who underwent tonsillectomy or adenotonsillectomy were examined regarding the bleeding complications.

Results:

A correlation could not be demonstrated between bleeding complications and abnormalities in the preoperative parental anamnesis sheets, preoperative medication, duration of surgery, intraoperative hemostasis, intraoperative complications and anesthetic particularity.

A positive correlation could be found between the personal history of bleeding incidents and the presence of pathological lab results.

Also a seasonal accumulation was noticed. There were more bleeding incidents detected in spring and autumn. Children whose parents were affected by the von-Willebrand syndrome (vWS) showed more frequent bleeding incidents. In these cases boys showed a higher number of post-operative haemorrhage than girls did. The amount of incidences of vWS in this investigated group was higher than in the average of population.

Conclusion:

This study showed that the combination of a detailed standardized personal anamnesis with specific coagulation lab parameters is significant in terms of the presence of a vWS with expected bleeding complications. In these cases, further lab diagnostics are essential.


No conflict of interest has been declared by the author(s).

Mike Thranitz
Städtisches Klinikum Dessau,
Auenweg 38, 06847,
Dessau-Roßlau

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Publikationsdatum:
18. April 2018 (online)

© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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