Özet:

Purpose: Tonsillectomy is one of the most frequently performed surgeries by nose throat doctors. Blooding after tonsillectomy is a serious complication that is still common today. This study was aimed at evaluating the characteristics of patients who appeal to our clinic with post-tondylectomy bleeding. Materials and Methods: From January 2012 to September 2016, 367 patients with tonsillectomy operations in the Kilis State Hospital, 19 (5.2%) of patients with tonsillectomy operations, followed after tonsillectomy bleeding. Patients were evaluated in terms of age, gender, tonsillectomy method, bleeding etiology, bleeding day, season relationship, the methods of treatment applied. Results: No patient was observed early-term bleeding, while all 19 patients were diagnosed late-term bleeding. Of the patients with bleeding, 10 (52.6) were men, 9 (47.4) were women, and the average age was 11.15 (4-33 years). 4 of 50 adult patients with tonsillectomy (8%), and 317 children with 15 (4.7%) of patients with bleeding were observed. All of the patients were operated by the same surgeon with a cold knife method. Blooding after tonsillectomy was most frequently observed in a total of 6 (31.6%) patients on the 7th day. The most frequent bleeding occurred in the autumn (42.1%) and spring (26.3%). The cause of the bleeding could only be determined in 6 children (a patient with tonsil bed infection, a patient with hard and sharp food consumption, a patient with acidic beverage). 15 (78.9) patients bleeding by conservative methods, 4 (21.1) patients bleeding was stopped under general anesthesia in the surgical conditions. The result: post-tonsylectomy bleeding can reach life-threatening dimensions, so all patients with bleeding should be closely monitored. It should be known that the rates of bleeding after tonsillectomy may be high in the autumn season. The doctors, especially children, who are informed about the post-tondylectomy diet, may reduce the bleeding rates.

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