Removal of the tonsils in childhood
Operations are not always necessary
Annually about 26 in Germany. 000 almond operations on children aged performed up to 14 years. It is thus one of the most common procedures in this age group. Whether an operation is necessary and whether a complete removal or a reduction of the tonsils is always necessary, the attending otolaryngologist must decide individually. Because especially in a complete removal threatening complications such as bleeding that can be life-threatening."Bleeding complications after a tonsillectomy, the complete removal of the tonsils, which must be supplied in the OP, occurring at about five percent of all patients," explains Professor Dr. med. Jochen Wind Fuhr, head physician of the clinic for ear, nose and throat medicine clinics Maria Hilf in Mönchengladbach. "This may develop at any time and in any patient in a life-threatening complication." Among the risk factors for the occurrence and severity of postoperative bleeding are surgical technique repeatedly, but also known as patient age, patient sex, and type of anesthesia. "This has us but not so far helped to predict who will bleed from our patients. In young children, the situation is further complicated because they tolerate only lower amounts of blood loss. And it is not always mass bleeding that we fear. Even in so-called blood oozing large amounts can be swallowed unnoticed, then for a surge-like blood vomiting and / or collapse of the cardiovascular system lead, "said Wind Fuhr. Why was particularly in young patients a complete postoperative care after discharge from inpatient care until complete healing of wounds especially important. "Parents need to know what to do when their child is bleeding," adds Windfuhr.