Impact of Tonsillar Pillar Suturing on Post-Tonsillectomy Hemorrhage: A Systematic Review of the Literature
Impact of Tonsillar Pillar Suturing on Post-Tonsillectomy Hemorrhage: A Systematic Review of the Literature
DOI:
https://doi.org/10.51473/rcmos.v1i2.2025.1735Keywords:
Tonsillectomy. Postoperative hemorrhage. Pillar suturing. Tonsillar surgery. Surgical complications.Abstract
Tonsillectomy is one of the most established surgical procedures in otolaryngologic practice. Among its inherent risks, postoperative hemorrhage stands out due to its potential for morbidity and mortality. Suturing of the tonsillar pillars has been proposed as an adjunct technique to enhance hemostasis and stabilize the surgical bed, although its effectiveness varies according to patient characteristics, operative method, and surgeon experience. This review examined studies comparing tonsillectomy with and without pillar suturing, identifying a general trend toward reduced bleeding and decreased need for reintervention among patients who underwent suturing. Nevertheless, methodological heterogeneity and the lack of standardization across studies limit definitive conclusions regarding its superiority.
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Copyright (c) 2025 João Pedro Bregalda, Lucca Tessari Balbinott, William Uhlmann, Felipe Ferrari Corrêa, Christhian Eduardo Lopes Gonçalves (Autor)
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