Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of E.N.T.

Tonsillectomy is one of the commonest otolaryngological procedures performed .Multiple reports have demonstrated the safety of ambulatory (outpatient) pediatric Tonsillectomy, however Post-tonsillectomy hemorrhage remains the most serious complication of tonsillectomy. Review of literature suggests that preoperative anaemia is independently associated with an increased risk of postoperative morbidity. In this work, we analyzed different parameters including patient{u2019}s age, gender, type of surgery 2Tonsillectomy or Adenotonsillectomy3, technique 2Cold dissection or Bipolar3, evidence of tonsillar bed infection and pre-operative hemoglobin level in two groups of patients indicated for tonsillectomy. One group of 80 patients didn{u2019}t suffer from post-tonsillectomy bleeding as a control group; the other of 20 patients having secondary post-tonsillectomy bleeding. According to our statistical analysis and data, no significant difference between the two groups regarding the occurrence of secondary post-tonsillectomy in the following parameters: patient{u2019}s age, gender, type of surgery 2Tonsillectomy or Adenotonsillectomy3 and preoperative hemoglobin level.However there was higher incidence of secondary post tonsillectomy bleeding in patients operated by bipolar scissors. Also evidence of tonsillar bed infection raises the possibility of secondary post-tonsillectomy bleeding occurrence

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