Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis—A Retrospective Study
Abstract
:1. Introduction
2. Material and Methods
2.1. Group of Patients
2.2. Methods
2.3. Methodology of Stopping Bleeding
2.4. Statistical Methods
3. Results
4. Discussion
4.1. Differences in the Course of PTA and CHT + RT
4.2. Postoperative Bleeding
4.3. Age, Gender, Season and Side Dependence
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Conflicts of Interest
References
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Diagnosis | Total | Gender | Age | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Patients | % | Men | % | Women | % | p-Value M/W | Mean | Median | p-Value | |
I (PTA) | 1100 | 55.17 | 642 | 58.36 | 458 | 41.64 | <0.0001 | 35.41 | 35 | <0.0001 |
II (CHT + RT) | 894 | 44.83 | 372 | 41.61 | 522 | 58.39 | 29.54 | 27 | ||
total | 1994 | 100 | 1014 | 50.85 | 980 | 49.15 | - | 31.81 | 30 | - |
Diagnosis | Tonsillectomy | Side of Tonsillectomy | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Total | % | Bilateral | % | Unilateral | % | Left | % | Right | % | p-Value | |
I (PTA) | 1100 | 38.71 | 0 | 0 | 1100 | 100 | 554 | 50.36 | 546 | 49.64 | 0.9920 |
II (CHT + RT) | 1742 | 61.29 | 848 | 97.36 | 46 | 2.64 | 877 | 50.34 | 865 | 49.66 | |
total | 2842 | 100 | 848 | 59.68 | 1146 | 40.32 | 1431 | 50.35 | 1411 | 49.65 | - |
n | PTH | % | p-Value | Men | Women | p-Value | |||||
---|---|---|---|---|---|---|---|---|---|---|---|
Total | PTH | % | Total | PTH | % | ||||||
I (PTA) | 1100 | 107 | 9.73 | 0.9920 | 642 | 68 | 10.59 | 458 | 39 | 8.52 | 0.2519 |
II (CHT + RT) | 1742 | 178 | 10.22 | 729 | 90 | 12.35 | 1013 | 88 | 8.69 | 0.0129 | |
total | 2842 | 285 | 10.03 | - | 1371 | 158 | 11.52 | 1471 | 127 | 8.63 | 0.0104 |
n | PTH | Right | % | Left | % | p-Value | |
---|---|---|---|---|---|---|---|
I (PTA) | 1100 | 107 | 56 | 10.26 | 51 | 9.21 | 0.5566 |
II (CHT + RT) | 1742 | 178 | 93 | 10.75 | 85 | 9.69 | 0.4655 |
total | 2842 | 285 | 149 | 52.28 | 136 | 47.72 | 0.3487 |
Diagnosis | Finding of Bleeding | Degree of Bleeding and Therapy | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Anamnestic or Insignificant | Significant | Observation and Hemostyptics | Compression and/or Coagulation - Local Anesthesia | Compression and/or Coagulation - General Anesthesia | ||||||||
n | % | n | % | p-Value | n | % | n | % | n | % | p-Value | |
I (PTA) | 20 | 18.69 | 87 | 81.31 | 0.7524 | 76 | 71.03 | 7 | 6.54 | 24 | 22.43 | 0.3045 |
II (CHT + RT) | 36 | 20.22 | 142 | 79.78 | 129 | 72.47 | 5 | 2.81 | 44 | 24.72 | ||
total | 56 | 19.65 | 229 | 80.35 | - | 205 | 71.93 | 12 | 4.21 | 68 | 23.86 | - |
1. PTH | 2. PTH | 3. PTH | |||||
---|---|---|---|---|---|---|---|
n | % | n | % | n | % | p-Value | |
I (PTA) | 107 | 9.73 | 11 | 11.28 | 1 | 0.93 | 0.5774 |
II (CHT + RT) | 178 | 10.22 | 21 | 11.80 | 2 | 1.12 | |
total | 285 | 10.03 | 32 | 11.23 | 3 | 1.05 | - |
Group I (PTA) | Group II (CHT + RT) | |||||||
---|---|---|---|---|---|---|---|---|
Age | Total | PTH | % | p-Value | Total | PTH | % | p-Value |
0–4 | 12 | 0 | 0 | 0.6195 | 14 | 1 | 7.14 | 1.0000 |
5–9 | 43 | 3 | 6.98 | 0.7919 | 133 | 8 | 6.02 | 0.0959 |
10–14 | 47 | 4 | 8.51 | 1.0000 | 112 | 8 | 7.14 | 0.2666 |
15–19 | 90 | 8 | 8.89 | 0.7794 | 237 | 19 | 8.02 | 0.2287 |
20–24 | 115 | 18 | 15.65 | 0.0235 | 247 | 27 | 10.93 | 0.6896 |
25–29 | 105 | 12 | 11.43 | 0.5362 | 237 | 35 | 14.77 | 0.0128 |
30–34 | 137 | 17 | 12.41 | 0.2576 | 164 | 17 | 10.37 | 0.9477 |
35–39 | 154 | 13 | 8.44 | 0.5615 | 196 | 21 | 10.71 | 0.8077 |
40–44 | 98 | 9 | 9.18 | 0.8491 | 135 | 17 | 12.89 | 0.3430 |
45–49 | 70 | 6 | 8.57 | 0.7359 | 72 | 13 | 18.06 | 0.0249 |
50–54 | 74 | 8 | 10.81 | 0.7447 | 56 | 3 | 5.36 | 0.2222 |
55–59 | 53 | 3 | 5.66 | 0.3058 | 40 | 3 | 7.50 | 0.5658 |
60–64 | 41 | 2 | 4.88 | 0.4208 | 41 | 3 | 7.32 | 0.7931 |
65–69 | 30 | 2 | 6.67 | 0.7609 | 32 | 2 | 6.25 | 0.7657 |
70–74 | 17 | 1 | 5.88 | 1.0000 | 14 | 1 | 7.14 | 1.0000 |
75–79 | 10 | 0 | 0 | 0.6109 | 10 | 0 | 0 | 0.6116 |
80–84 | 3 | 1 | 33.33 | 0.2646 | 0 | 0 | 0 | - |
85–89 | 1 | 0 | 0 | 1.0000 | 2 | 0 | 0 | 1.0000 |
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Slouka, D.; Čejková, Š.; Hanáková, J.; Hrabačka, P.; Kormunda, S.; Kalfeřt, D.; Skálová, A.; Šimánek, V.; Kucera, R. Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis—A Retrospective Study. Int. J. Environ. Res. Public Health 2021, 18, 1946. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041946
Slouka D, Čejková Š, Hanáková J, Hrabačka P, Kormunda S, Kalfeřt D, Skálová A, Šimánek V, Kucera R. Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis—A Retrospective Study. International Journal of Environmental Research and Public Health. 2021; 18(4):1946. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041946
Chicago/Turabian StyleSlouka, David, Štěpánka Čejková, Jana Hanáková, Petr Hrabačka, Stanislav Kormunda, David Kalfeřt, Alena Skálová, Václav Šimánek, and Radek Kucera. 2021. "Risk of Postoperative Bleeding in Tonsillectomy for Peritonsillar Abscess, as Opposed to in Recurrent and Chronic Tonsillitis—A Retrospective Study" International Journal of Environmental Research and Public Health 18, no. 4: 1946. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18041946