gms | German Medical Science

82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

01.06. - 05.06.2011, Freiburg

The Austrian Tonsil Study 2010

Meeting Abstract

  • corresponding author presenting/speaker Stephanie Sarny - Department of General Otorhinolaryngology, Head and Neck Surgery, Medical University Graz, Austria, Graz, Austria
  • author Guenther Ossimitz - Department of Mathematics, University Klagenfurt, Austria, Klagenfurt, Austria
  • author Walter Habermann - Department of General Otorhinolaryngology, Head and Neck Surgery, Medical University Graz, Austria, Graz, Austria
  • author Heinz Stammberger - Department of General Otorhinolaryngology, Head and Neck Surgery, Medical University Graz, Austria, Graz, Austria

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Freiburg, 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hno07

DOI: 10.3205/11hno07, URN: urn:nbn:de:0183-11hno070

Veröffentlicht: 3. August 2011

© 2011 Sarny et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Tonsil and adenoid surgeries are routinely performed by otorhinolaryngologists. Therefore, systematic evaluation with standardised definitions and study designs is necessary.

Methods: During nine months, from October 2009 until June 2010, information on all consecutive tonsillectomies (TE), tonsillotomies (TO) and adenoidectomies (AE) performed nationwide in Austria were prospectively collected. Postoperative haemorrhage was defined as any bleeding episode after extubation and was classified into seven grades depending on severity and medical treatment.

Results: Analyses were conducted on 9405 patients from 32 hospitals: TE was performed in 48.9%, TO 14.0% in and AE in 37.1%. TE was performed in 71.6% in adults (mean age: 22.3 years), TO was performed in 75.1% in children aged less than six years (mean age: 5.7 years) and AE was performed in 64.5% in children aged less than six years (mean age: 6.5 years). Postoperative haemorrhage rate after TE was 15.0%, after TO 2.3% and after AE 0.8%. Surgical revision in general anaesthesia was only necessary in 4.9%, 0.8% and 0.3%. No deaths occurred.

Summary: For the first time in German speaking countries a full census on all tonsillectomies, tonsillotomies and adenoidectomies in one country were performed along standardised criteria. The highest haemorrhage rate occurred in adults after tonsillectomy (17.0%).


References

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Tomkinson A, Harrison W, Owens D, Harris S, McClure V, Temple M. Risk factors for postoperative hemorrhage following tonsillectomy. The Laryngoscope 2011;121:279-88
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Lowe D, van der Meulen J. Tonsillectomy technique as a risk factor for postoperative hemorrhage. Lancet 2004;364:697-702