Objective: We compared the results of hemorrhages after tonsillectomy performed by bipolar cautery and classic dissection method between 2005 and 2009 at Inonu University, Faculty of Medicine, Otorhinolaryngology Head and Neck Surgery Department.
Materials and Methods: Files of 514 tonsillectomy patients were checked between 2005 and 2009. Posttonsillectomy hemorrhage cases after bipolar cautery and classic dissection were assessed. We compared the day and frequency of bleedings, hematologic findings preoperative and after bleeding and the techniques used to control bleeding
Results: A total of 514 cases were assigned to two tonsillectomy groups. 196 patients underwent bipolar cautery tonsillectomy, 318 patients underwent classic dissection tonsillectomy. A total of 22 postoperative tonsillectomy hemorrhage cases were intervened to control bleeding. We confirmed postoperative tonsillectomy hemorrhage at 22 (4.2%) of 514 total tonsillectomy cases, 8 (4.1%) of 196 bipolar cautery tonsillectomy and 14 (4.4%) of 318 classic dissection tonsillectomy. Six (27,2%) of all posttonsillectomy hemorrhage patients didn’t obey the postoperative diet recommendations. Bleeding was idiopathic in remaining 16 (72.8%) patients. We controlled 8 of 22 posttonsillectomy hemorrhages at outpatient clinic and 14 at operation room. Hemostasis procedures we used were gargling with icy water at first, compression with a pack soaked in adrenaline+lidocaine solution, suture ligation, cauterization and suturation of both plicas after placing a piece of Surgicell®. We did not need to ligate carotid artery branches in all cases. Fresh frozen plasma was transfused to three patients and erytrhrosyte suspension to two patients.
Conclusion: We found no difference between two techniques about postoperative hemorrhage.
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