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Abstract

Introduction: Tonsillectomy is the most widely performed procedure worldwide, with complications like bleeding which is divided into primary that occurs within 24 hours and secondary at any point more than 24 hours after surgery. Among the drugs used to reduce the risk of bleeding, we have tranexamic acid; its use topical has not been described for early or late tonsil bleeding. Materials and Methods:The medical records with diagnosis of post-tonsillectomy hemorrhage that have been treated with topical tranexamic acid at the Carlos Andrade Marin Specialties Hospital and the Private Hospital of the city of Quito in the period 2018-2022 were analyzed. The study population was six adult patients.Results: Topical tranexamic acid was administered; it was evident that with the first instillation the bleeding was controlled in the 83.3%, oral tolerance began from 12 hours after the scheme started; a patient failed and need emergency surgery. Conclusion:Administration of topical tranexamic acid was successful in controlling post-tonsillectomy hemorrhage.