Article

Peritonsillar abscess – critical analysis of abscess tonsillectomy

Department of Otorhinolaryngology, Head and Neck Surgery, Philipps University of Marburg, Germany
Clinical Otolaryngology (impact factor: 2.39). 09/2003; 28(5):420 - 424. DOI:10.1046/j.1365-2273.2003.00736.x pp.420 - 424

ABSTRACT The risk of secondary haemorrhage following abscess tonsillectomy is reported in the literature with differing rates. A retro- and prospective analysis of complication rates following abscess tonsillectomy was conducted in 142 patients (54 females, 88 males; mean age: 35 years). In 22% of patients, a secondary haemorrhage occurred. In half of these (11% of total), the haemorrhage had to be treated surgically. Secondary haemorrhage occurred most commonly on the 6th and 8th postoperative days. Reports in the literature are not in unison about the risk of secondary haemorrhage following abscess tonsillectomy and therefore allow no final judgement about an objective risk of this complication. This report strengthens the results of the ‘Comparative Audit Service’ analysis from 1997, which did show a high risk of secondary haemorrhage following tonsillectomy, as well as following abscess tonsillectomy.

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Keywords

54 females
 
8th postoperative days
 
abscess tonsillectomy
 
final judgement
 
haemorrhage
 
objective risk
 
patients
 
prospective analysis
 
report strengthens
 
Reports
 
retro-
 
secondary haemorrhage
 
surgically
 
tonsillectomy
 
‘Comparative Audit Service’ analysis