Post-tonsillectomy haemorrhage (PTH) remains a life-threatening challenge, particularly in children and patients with coagulopathy. Conventional management often relies on invasive measures such as cauterisation or surgical re-exploration. A recent review in the European Archives of Oto-Rhino-Laryngology synthesised emerging evidence on nebulised tranexamic acid (TXA) as a novel, non-invasive approach. Across multiple observational and cohort studies, nebulised TXA demonstrated rapid haemostatic action, reduced the need for surgical control, and exhibited minimal systemic absorption with few adverse events.
Despite the absence of standardised dosing or RCT validation, this modality could soon transform emergency ENT haemorrhage protocols. Could nebulised TXA redefine your approach to post-tonsillectomy bleeds? Read the full review in European Archives of Oto-Rhino-Laryngology As an…
