ENT SURGERY IN CHILDREN WITH INHERITED BLEEDING DISORDERS

Inherited bleeding disorders are frequently considered an absolute con traindication to tonsillectomy and other ENT procedures. Over a 15-yea r period we have performed ten elective tonsillectomies and five bilat eral myringotomies on children with inherited bleeding disorders. All procedures were carried out with the close co-operation of the Haemato logy Department in the hospital. All patients underwent uneventful sur gery. One patient returned after tonsillectomy with a secondary haemor rhage which did not require surgical intervention. We present our team approach to the management of these children and demonstrate that nec essary surgical intervention can be undertaken safely in this select g roup of patients.