ORIGINAL ARTICLE |
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Year : 2014 | Volume
: 30
| Issue : 4 | Page : 347-350 |
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Oropharyngeal packing for resistant post-tonsillectomy bleeding
Magdy I Goda1, Mohammad W. M El-Anwar1, Ismail Elnashar1, Eid Gumaa2
1 Department of Otorhinolaryngology, Head and Neck Surgery, Zagazig University, Zagazig, Egypt 2 Department of Anesthesia and ICU, Faculty of Medicine, Zagazig University, Zagazig, Egypt
Correspondence Address:
Mohammad W. M El-Anwar Department of Otorhinolaryngology, Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig Egypt
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/1012-5574.144973
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Background
Tonsillectomy remains a common surgical procedure with a substantial risk for complications, the greatest of which is postoperative hemorrhage.
Objective
The aim of this study was to assess the efficiency of oropharyngeal packing around the orotracheal tube to control resistant, potentially lethal, post-tonsillectomy bleeding.
Patients and methods
Six patients were presented to our institution with massive (potentially fatal) post-tonsillectomy hemorrhage from January 2002 to June 2011. After failure of initial measures to control bleeding, oropharyngeal packing around the orotracheal tube with or without a nasogastric tube was inserted to compress the bleeding areas.
Results
Oropharyngeal packing succeeded in controlling and stopping resistant post-tonsillectomy bleeding in all cases.
Conclusion
Resistant, potentially fatal, post-tonsillectomy bleeding could be controlled by oropharyngeal packing around orotracheal tubes, and this can be tried first before external carotid artery ligature. |
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