Bellocq’s tamponade in children who underwent operative treatment on the Waldeyer’s ring in the children’s otolaryngology clinic in Warsaw

Anna Gorzelnik, *Lidia Zawadzka-Głos

Summary
Aim. Surgical treatment of the adenoid and tonsils is counted as one of the most commonly performed operations in laryngology despite the possible postoperative complications. The main complications are bleedings. The failure in obtaining hemostasis is an indication to perform Bellocq’s tamponade.
Materials and methods. In the period between January 2008 and March 2012 in the Children’s Otolaryngology Clinic of Warsaw Medical University 1209 children have undercome surgical treatment of the Waldeyer’s ring. Hemorrhages due to surgery complications demanding the use of the Bellocq’s tamponade have been recorded in 25 children.
Results. Hemorrhages demanding the use of the Bellocq’s tamponade have occurred most often during the surgery or in post operation day zero. Additionally one fourth of the patients needed also blood-based products; mostly packed red blood cells. Eight patients required additional coagulation parameters analysis and a control visit at the hematologist. Two of them have been diagnosed with hemorrhagic diathesis for the first time.
Conclusion. All children, with hemorrhagic complications should be consulted by a hematologist.

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