{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T21:36:07Z","timestamp":1790717767728,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4185,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2004,12]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The aim of our study was to assess the rate of reactionary and secondary posttonsillectomy hemorrhage using \u201ccold\u201d dissection and bipolar diathermy and to determine whether there was any difference in the postoperative hemorrhage rate between the 2\u00a0methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>This was a prospective study of all patients undergoing tonsillectomy between November 8, 1999 and November 7, 2000\u00a0in a tertiary medical centre. The data collected included patient identity, age, gender, date of surgery, method of operation, and complications (if any). The timing of reactionary or secondary posttonsillectomy hemorrhage and the treatment were recorded. We hypothesized no difference in posttonsillectomy hemorrhage rates using the 2\u00a0methods. <jats:italic>X<\/jats:italic> <jats:sup>2<\/jats:sup> test was used for statistical analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 349 patients underwent tonsillectomy in the period (134\u00a0males, 215 females, mean age was 16.7 years). Of these, 337 were bilateral procedures, 145 patients had tonsillectomy using cold dissection, and 192 patients had bipolar diathermy. Reactionary hemorrhage occurred in 1 patient (0.3%) and 31 patients (9.2%) developed secondary hemorrhage. The hemorrhage rates using cold dissection (n = 8) and bipolar diathermy (n = 24) were 5.5% and 12.5%, respectively (<jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The primary and secondary posttonsillectomy hemorrhage rates were 0.3 and 9.2%, respectively. Tonsillectomy using bipolar diathermy has a statistically significant higher secondary hemorrhage rate than using cold dissection (12.5% vs. 5.5%, <jats:italic>P<\/jats:italic> &lt; 0.05). (Otolaryngol Head Neck Surg 2004;131:833\u20136.)<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.08.008","type":"journal-article","created":{"date-parts":[[2004,12,10]],"date-time":"2004-12-10T09:36:13Z","timestamp":1102671373000},"page":"833-836","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":60,"title":["Post\u2010Tonsillectomy Hemorrhage: Cold versus Hot Dissection"],"prefix":"10.1002","volume":"131","author":[{"given":"Michael S. W.","family":"Lee","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Ninewells Hospital and Medical School Dundee United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary\u2010Louise","family":"Montague","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ninewells Hospital and Medical School Dundee United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. S.","family":"Musheer Hussain","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Ninewells Hospital and Medical School Dundee United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,5,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100136175"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-6665(20)30509-0"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1907.25220470029003"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)44599-X"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)69409-6"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100069735"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00320.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100067712"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100092926"},{"key":"e_1_2_5_11_1","first-page":"167","article-title":"Post\u2010tonsillectomy secondary haemorrhage","volume":"67","author":"Siodlak M","year":"1985","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1984.tb01519.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100129718"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100131172"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100133936"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100124211"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100118493"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1989.tb00397.x"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100147863"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1992.tb00980.x"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.08.008","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.otohns.2004.08.008","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.otohns.2004.08.008","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T12:13:34Z","timestamp":1760962414000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.otohns.2004.08.008"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,12]]},"references-count":19,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2004,12]]}},"alternative-id":["10.1016\/j.otohns.2004.08.008"],"URL":"https:\/\/doi.org\/10.1016\/j.otohns.2004.08.008","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,12]]},"assertion":[{"value":"2016-05-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}