What is the role of steroids in the surgical treatment of tonsillitis?

Updated: Apr 06, 2020
  • Author: Udayan K Shah, MD, FACS, FAAP; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

A retrospective cohort study of 61,430 patients who underwent tonsillectomy indicates that the use of intravenous steroids on the day of surgery increases the incidence of posttonsillectomy bleeding in children, but not in adults. In the study, Suzuki et al found that the rate of reoperation for bleeding was 1.2% for children aged 15 years or younger who received intravenous steroids, versus 0.5% for patients in the same age group who did not. Among patients older than 15 years, however, the reoperation rate was not significantly higher in the steroid patients than in the controls (1.7% vs. 1.4%). [23, 24]


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