Bleeding and Pain Post-tonsillectomy: An Adult Cohort Study

Background Tonsillectomy is one of the most common surgical procedures performed. This study aimed to understand the rate and severity of post-operative bleeding and pain in adult patients undergoing tonsillectomy in the United Kingdom. Methods A total of 10 secondary and tertiary otolaryngology units recruited adults prior to tonsillectomy and provided them with a diary to complete and return. This diary recorded the frequency and severity of post-operative bleeding and the intensity and pattern of post-operative pain. Results In total, 75 patients were recruited with 18 complete patient diaries analysed (median age 24.8, range: 17-50 years); of these 12 (67%) reported post-operative bleeding. Pain was most severe on Days 4-6 (median score 8/10) and then declined over the 21-day study period. There were 21 post-operative interactions with healthcare services recorded by these patients: 15 emergency department and six general practice visits. Conclusion This study demonstrates the pattern of post-procedural pain and bleeding in adult tonsillectomy and the high rate of interaction with healthcare providers. Improved understanding will allow more accurate consent conversations and patient counselling.