| Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors. | |
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MedLine Citation:
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PMID: 18722230 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. STUDY DESIGN: A two-center prospective case series analysis. SUBJECTS AND METHODS: Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. RESULTS: Ten patients (1.4%) experienced postoperative bleeding between 0 and 17 days after surgery. Five patients had previously untreated tumors, and five patients had salvage surgery. Two patients (0.3%) had minor bleeding and required observation only. Five patients (0.7%) experienced major bleeding requiring exploration under general anesthesia. Three patients (0.4%) had catastrophic life-threatening bleeds, two of whom died. The bleeding vessel was identified as the lingual artery in four patients, the superior laryngeal artery in two, the facial artery in two, and unknown in two. CONCLUSIONS: Bleeding after transoral laser microsurgery is rare but potentially life-threatening. |
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Authors:
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John R Salassa; Michael L Hinni; David G Grant; Richard E Hayden |
Publication Detail:
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Type: Case Reports; Journal Article; Multicenter Study |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 139 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-25 Completed Date: 2008-10-09 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 453-9 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head & Neck Surgery, Mayo Clinic, Jacksonville, FL 32224, USA. salassa.john@mayo.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Carcinoma, Squamous Cell / radiotherapy, surgery* Electrocoagulation* Fatal Outcome Female Humans Hypopharyngeal Neoplasms / radiotherapy, surgery Incidence Laryngeal Neoplasms / surgery* Larynx / blood supply Laser Therapy Male Microsurgery Oropharynx / blood supply Pharyngeal Neoplasms / surgery* Postoperative Hemorrhage / epidemiology, surgery* Risk Factors Salvage Therapy Tongue Neoplasms / surgery* Treatment Failure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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