BLEEDING AS THE MAIN COMPLICATION AFTER ADENOIDECTOMY AND ADENOTONSILLOTOMY

Introduction. adenoidectomy and adenotonsillotomy are one of the most common surgeries performed in children due to adenoid and tonsils hypertrophy. although the complications after the surgery are quite rare, one of the most common complication is bleeding. Aim. the aim of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, as well as coexisting coagulation disorders. Material and methods. the retrospective analysis of clinical data of 1312 patients hospitalized in the department of pediatric otolaryngology of medical University of Warsaw between January 2011 and december 2012 who underwent adenoidectomy or adenotonsillotomy was done. the objective of the study was to analyze the rate of bleeding as the most common early complication (within 24 hours) after adenoidectomy and adenotonsillotomy. the assessed factors were: age, sex, type of surgery, frequency of bleeding and applied surgical treatment, coexisting coagulation disorders. Results. intense bleeding (p < 0.01) and complications requiring surgical treatment (p < 0.05) occured more often after adenotonsillotomy than after adenotomy. in patients with coexisting coagulation disorders early complications were observed more often (p < 0.01). patients from specific age groups did not demonstrate statisticaly relevant higher complication rate, nor did male versus female group (p > 0.05). Conclusions. the study showed that intense bleeding and complications requiring surgical treatment occured more often after adenotonsillotomy than after adenotomy. patients with coagulation disorders were more likely to have intense intraor postoperatively bleeding. the age and the sex of the patient did not correlate with the higher bleeding rate.