Artikel
The Austrian Tonsil Study 2010
Suche in Medline nach
Autoren
Veröffentlicht: | 3. August 2011 |
---|
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
- 1.
- Windfuhr JP, Chen YS, Remmert S. Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients. Otolaryngol Head Neck Surg 2005;132:281-6.
- 2.
- 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
- 3.
- Lowe D, van der Meulen J. Tonsillectomy technique as a risk factor for postoperative hemorrhage. Lancet 2004;364:697-702