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ORIGINAL ARTICLE
Year : 2014  |  Volume : 30  |  Issue : 4  |  Page : 347-350

Oropharyngeal packing for resistant post-tonsillectomy bleeding


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
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Source of Support: None, Conflict of Interest: None


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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