Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (1): 82-85.doi: 10.6040/j.issn.1673-3770.0.2020.114

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Effects of palatal arch suturing on postoperative hemorrhage after tonsillectomy

TIAN Tianjie, ZHANG Zixion, YANG Fei, ZHOU Yi   

  1. Department of Otolaryngology & Head and Neck Surgery, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, Hubei, China
  • Published:2021-02-01

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Abstract: Objective To evaluate the effect of palatal arch suturing on reducing the risk of postoperative hemorrhage after tonsillectomy. Methods We retrospectively analyzed 234 cases of adult tonsillectomy performed by the same chief physician of our department from January 2013 to October 2019. All patients underwent low-temperature plasma tonsillectomy under general anesthesia. Among them, 125 patients received bilateral palatal arch suturing to prevent postoperative hemorrhage(observation group), while 109 patients received no palatal arch suturing(control group). The incidences of postoperative hemorrhage in both groups were recorded. Results The incidences of primary hemorrhage in the observation and control groups were 0.8% and 6.4%, respectively, with a statistically significant difference(χ2=6.11, P=0.027, P<0.05); the secondary hemorrhage rates of the observation and control groups were 14.4% and 9.2%, respectively, with no statistically significant difference(χ2=1.51, P=0.219, P>0.05); the secondary hemorrhage peaks in the observation and control groups were mainly on postoperative days 7 to 10, accounting for 77.8% and 80% of the postoperative hemorrhage, respectively, with no statistically significant difference(χ2=0.019, P>0.999, P>0.05); in the observation group, there were five cases of palatal arch tearing during intraoperative suturing and three cases of pharyngeal cavity scar healing. Conclusions Palatal arch suturing could reduce the incidence of primary postoperative hemorrhage but not necessarily that of secondary hemorrhage after tonsillectomy. In addition, palatal arch suturing could cause complications, such as palatal arch tearing and scar healing. Accordingly, we should reasonably grasp and apply this method instead of blindly magnifying its effect of reducing the risk of postoperative hemorrhage after tonsillectomy.

Key words: Tonsillectomy, Low temperature radiofrequency ablation, Postoperative hemorrhage, Suture hemostasis

CLC Number: 

  • R66
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