{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T07:19:02Z","timestamp":1784618342117,"version":"3.55.0"},"reference-count":68,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Introduction:&lt;\/i&gt;&lt;\/b&gt; Quality assurance in health care involves the evaluation of outcomes, cost-benefit ratios, and access to the delivery system. This literature review was undertaken to clarify the incidence of serious posttonsillectomy complications to better understand the outcome component of quality assurance. &lt;b&gt;&lt;i&gt;Material and Methods:&lt;\/i&gt;&lt;\/b&gt; A Medline review was undertaken using the key word \u2018tonsillectomy' AND each of the following: \u2018serious', \u2018complications' and \u2018review'; \u2018meta-analysis', \u2018Cochrane'; \u2018life-threatening', \u2018death' and \u2018disability'. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; 454 articles were identified with the following search items in combination with \u2018tonsillectomy': \u2018serious' (154), \u2018complications', \u2018review' (24), \u2018meta-analysis' (38), \u2018Cochrane' (43), \u2018life-threatening' (87), \u2018death' (91), \u2018disability' (17). Sixty-seven articles described a complication rate and were therefore eligible for review: 22 case reports, 9 case series, 2 questionnaires and 33 studies with a more or less precise complication rate were obtainable. Most articles (n = 30) reported the rate of posttonsillectomy hemorrhage with a considerable range. Fifteen articles reported the incidence of death, which ranged from 1:7,132 to 1:170,000 and almost always resulted from excessive hemorrhage. All other complications were mentioned in case reports. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; The most common postoperative complication of tonsillectomy is bleeding. However, the incidence varies considerably across studies depending on the study design, follow-up and definition of postoperative bleeding. Other serious adverse events, such as neurological disabilities, emphysema (with or without pneumomediastinum), or vascular problems outside the neck are infrequent.<\/jats:p>","DOI":"10.1159\/000342317","type":"journal-article","created":{"date-parts":[[2013,8,22]],"date-time":"2013-08-22T07:35:20Z","timestamp":1377156920000},"page":"166-173","source":"Crossref","is-referenced-by-count":47,"title":["Serious Complications following Tonsillectomy: How Frequent Are They Really?"],"prefix":"10.1159","volume":"75","author":[{"given":"Jochen 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