{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T23:43:28Z","timestamp":1791416608898,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,5,17]],"date-time":"2016-05-17T00:00:00Z","timestamp":1463443200000},"content-version":"vor","delay-in-days":4123,"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":[[2005,2]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To evaluate potential risk factors and the incidence of bleeding following adenoidectomy or tonsillectomy, with or without adenoidectomy requiring surgical treatment under general anesthesia.<\/jats:p><\/jats:sec><jats:sec><jats:title>STUDY DESIGN AND SETTING<\/jats:title><jats:p>Retrospective chart review of 15,218 patients who underwent surgery between January 1, 1988, and September 30, 2001, at our institution (St. Anna Hospital, Duisburg).<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>A total of 229 patients experienced post\u2010operative bleeding (1.5%). Patients of male gender and 70 years of age or older were significantly at risk for post\u2010tonsillectomy hemorrhage. The incidence of bleeding increased with age. Of the bleeding episodes, 76% occurred on the day of surgery; immediate abscess\u2010tonsillectomy was not associated with an increased risk of bleeding.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Hemorrhage following tonsillectomy and adenoidectomy is rare and predominantly occurs early after surgery. Male patients, 70 years of age or older, infectious mononucleosis, and a history of recurrent tonsillitis were identified as risk factors for post\u2010tonsillectomy hemorrhage. Delayed hemorrhage has the potential to be life\u2010threatening.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.otohns.2004.09.007","type":"journal-article","created":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T07:33:59Z","timestamp":1107243239000},"page":"281-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":287,"title":["Hemorrhage following tonsillectomy and adenoidectomy in 15,218 patients"],"prefix":"10.1002","volume":"132","author":[{"given":"J. P.","family":"Windfuhr","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Plastic Head and Neck Surgery St. Anna Hospital Duisburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. 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