Abstract
Post-tonsillectomy bleeding (PTB) remains one of the most significant complications following tonsillectomy, posing potential risks of morbidity and mortality. Understanding the underlying factors that contribute to PTB is critical for improving patient outcomes and tailoring perioperative management. This study aimed to identify and analyze demographic, clinical, and surgical factors associated with the risk of PTB among patients undergoing tonsillectomy. A cross-sectional analytical study was conducted on 150 patients who underwent tonsillectomy. Data were collected through structured questionnaires and medical records, capturing variables such as age, gender, BMI, comorbid conditions (e.g., diabetes, hypertension), genetic syndromes, history of recurrent tonsillitis, surgical technique, post-operative medication (e.g., ibuprofen), and surgeon seniority. Statistical analyses included chi-square tests for categorical variables, independent sample t-tests for continuous variables, and multivariate linear regression to determine independent predictors of PTB. Among the patients, 25 (16.7%) experienced post-tonsillectomy bleeding. Bivariate analysis revealed significant associations between PTB and BMI category (p = 0.031), presence of diabetes (p = 0.027), comorbidities (p = 0.037), and genetic syndromes (p = 0.018). In the regression model, obesity (B = 0.4, p = 0.008), diabetes (B = 0.6, p = 0.007), and history of recurrent tonsillitis (B = 0.45, p = 0.014) emerged as significant independent predictors of PTB. Gender, surgical technique (e.g., electrocautery), and seniority of the operating surgeon did not show significant associations (p > 0.05). This study highlights that certain clinical factor, particularly obesity, diabetes, and recurrent tonsillitis, significantly increase the risk of PTB. These findings underscore the need for comprehensive preoperative assessments and individualized surgical planning for high-risk patients. Implementing tailored interventions and closer post-operative monitoring could reduce the incidence and severity of bleeding complications following tonsillectomy