Blood, sweat and tonsils : bleeding after abscess tonsillectomy for quinsy - a meta-analysis
Gupta, Keshav Kumar Yeo, Justin Jui Yuan Metcalfe, Christopher Weller, Matthew
Gupta, Keshav Kumar
Yeo, Justin Jui Yuan
Metcalfe, Christopher
Weller, Matthew
Abstract
Objective: Abscess tonsillectomy is performed during an active episode of quinsy. Apprehensions regarding an elevated bleeding risk have hindered its widespread acceptance. This study aims to assess the prevalence of post-tonsillectomy bleeding (PTB) associated with abscess tonsillectomy.
Data sources: A search was performed on August 27, 2023 in Medline, Embase, PubMed, Cochrane CENTRAL, and Web of Science databases.
Review methods: The systematic review was conducted in adherence to the PRISMA guidelines. Pooled PTB rate was determined using a meta-analysis of proportions. The JBI tool was used to assess the quality of the included studies.
Results: Of the 525 search records, 18 studies met the eligibility criteria for final analysis. These comprised of retrospective single-center analyses. The pooled prevalence of PTB was 6.65% (95% C.I. 4.01-9.81), and the return-to-theatre rate was 2.35% (95% C.I. 1.48-3.37). There was no difference in PTB rate between unilateral and bilateral tonsillectomy. However, the bipolar technique was associated with a higher PTB rate compared to cold steel dissection. The overall quality of the body of evidence was moderate.
Conclusion: Our study highlights the complications associated with abscess tonsillectomy. These findings contribute valuable insights into this potential treatment option for quinsy.
MIDER Authors
Affiliations
Russells Hall Hospital; Walsall Healthcare NHS Trust
Citations
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Date
2024-10
Type
Article
Subject
Collections
Citation
Mughal Z, Gupta KK, Yeo JJY, Metcalfe C, Weller M. Blood, Sweat, and Tonsils: Bleeding After Abscess Tonsillectomy for Quinsy-A Meta-Analysis. Laryngoscope. 2024 Oct;134(10):4186-4195. doi: 10.1002/lary.31449. Epub 2024 Apr 13. PMID: 38613457.