The Impact of Tonsillectomy Techniques on Secondary Tonsillectomy Bleeding

N/ANot Yet RecruitingNCT07763704

Assiut University100 enrolled

Overview

Post-tonsillectomy hemorrhage (PTH) is one of the most common and potentially life-threatening complications of tonsillectomy. * Secondary PTH (Bleeding occurring \>24 hours post-operatively) is of particular clinical significance. * Tonsillectomy is a frequently performed procedure at Assiut University Hospital (AUH). * However, no local prospective data exists comparing secondary PTH rates across techniques, or systematically characterizing its causes. * This study addresses this gap by comparing rates, and analysis of causes.

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Post-Tonsillectomy Bleeding

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * Secondary PTH (bleeding \>24 hours post-tonsillectomy) * Tonsillectomy surgical technique: cold steel, bipolar diathermy, or Coblation * Any patient age (pediatric and adult patient are included) * Presenting to the AUH Emergency Department or ENT clinic Informed consent obtained (written parental consent + written child assent for patients under 18 years) Exclusion Criteria: * Primary PTH (bleeding ≤24 hours post-op) * Tonsillectomy technique other than the three study techniques (e.g., laser, harmonic scalpel) * External approach tonsillectomy * Known bleeding disorder (pre-existing coagulopathy) * Concurrent head and neck malignancy * Refusal of informed consent

Outcomes

Primary Outcomes

secondary post-tonsillectomy hemorrhage

bleeding from the throat that happens more than 24 hours after surgery, most commonly between 5 and 10 days post-op

Time frame: 10 day

Data from ClinicalTrials.gov

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