{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T23:43:15Z","timestamp":1779147795951,"version":"3.51.4"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T00:00:00Z","timestamp":1482969600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215116009518_sec_a1\"><jats:title>Objective:<\/jats:title><jats:p>To analyse risk factors associated with secondary post-operative bleeding when only one technique, namely bipolar scissors, is used.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116009518_sec_a2\"><jats:title>Methods:<\/jats:title><jats:p>The medical records of all consecutive patients aged six years or older who underwent tonsillectomy or adenotonsillectomy between 1 December 2010 and 30 November 2014 were retrospectively analysed.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116009518_sec_a3\"><jats:title>Results:<\/jats:title><jats:p>A total of 1734 patients were included in the study. A secondary haemorrhage occurred in 208 patients (12 per cent). Patients aged 15 years or older were 4.5 times (95 per cent confidence interval = 2.6\u20137.9;<jats:italic>p<\/jats:italic>&lt; 0.001) more likely to experience secondary haemorrhage. In cases of acute quinsy, patients aged 15 years or older had an 8.1-fold (95 per cent confidence interval = 1.1\u201359.6;<jats:italic>p<\/jats:italic>= 0.02) increased likelihood of experiencing secondary haemorrhage.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215116009518_sec_a4\"><jats:title>Conclusion:<\/jats:title><jats:p>Patients aged 15 years or older have a higher risk for bleeding regardless of the primary indication for the tonsillectomy. The risk for secondary haemorrhage does not seem to depend on the primary indication itself.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215116009518","type":"journal-article","created":{"date-parts":[[2016,12,29]],"date-time":"2016-12-29T07:22:25Z","timestamp":1482996145000},"page":"155-161","source":"Crossref","is-referenced-by-count":16,"title":["Risk factors for secondary post-tonsillectomy haemorrhage following tonsillectomy with bipolar scissors: four-year retrospective cohort study"],"prefix":"10.1017","volume":"131","author":[{"given":"T","family":"Harju","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Numminen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2016,12,29]]},"reference":[{"key":"S0022215116009518_ref17","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2012.660545"},{"key":"S0022215116009518_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.10.1271"},{"key":"S0022215116009518_ref7","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/S0140-6736(04)16896-7","article-title":"Tonsillectomy technique as a risk factor for postoperative haemorrhage","volume":"364","author":"Lowe","year":"2004","journal-title":"Lancet"},{"key":"S0022215116009518_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21242"},{"key":"S0022215116009518_ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000342317"},{"key":"S0022215116009518_ref11","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23421"},{"key":"S0022215116009518_ref3","doi-asserted-by":"publisher","DOI":"10.1159\/000245160"},{"key":"S0022215116009518_ref9","doi-asserted-by":"publisher","DOI":"10.1097\/mlg.0b013e318031f0b0"},{"key":"S0022215116009518_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/S0385-8146(01)00098-0"},{"key":"S0022215116009518_ref21","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(87)80028-5"},{"key":"S0022215116009518_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22347"},{"key":"S0022215116009518_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.2007.01381.x"},{"key":"S0022215116009518_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-0958-z"},{"key":"S0022215116009518_ref22","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199508002-00001"},{"key":"S0022215116009518_ref20","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790450016005"},{"key":"S0022215116009518_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.007"},{"key":"S0022215116009518_ref18","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1177\/014556130208100910","article-title":"Incidence of post-tonsillectomy hemorrhage in children and adults: a study of 4,848 patients","volume":"81","author":"Windfuhr","year":"2002","journal-title":"Ear Nose Throat J"},{"key":"S0022215116009518_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-011-1807-4"},{"key":"S0022215116009518_ref24","first-page":"689","article-title":"Quinsy tonsillectomy or interval tonsillectomy\u2013a prospective randomised trial","volume":"84","author":"Fagan","year":"1994","journal-title":"S Afr Med J"},{"key":"S0022215116009518_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12361"},{"key":"S0022215116009518_ref26","doi-asserted-by":"publisher","DOI":"10.1080\/00016480510012336"},{"key":"S0022215116009518_ref5","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215107007311"},{"key":"S0022215116009518_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2014.12.022"},{"key":"S0022215116009518_ref19","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2014.905702"},{"key":"S0022215116009518_ref15","doi-asserted-by":"publisher","DOI":"10.1258\/0022215042790619"},{"key":"S0022215116009518_ref2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2006.01162.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215116009518","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T01:44:08Z","timestamp":1568684648000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215116009518\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12,29]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["S0022215116009518"],"URL":"https:\/\/doi.org\/10.1017\/s0022215116009518","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12,29]]}}}