scholarly journals Venous thromboembolism in head and neck surgery: Risk, outcome, and burden at the national level

Head & Neck ◽  
2019 ◽  
Vol 41 (5) ◽  
pp. 1545-1545 ◽  
Author(s):  
Zaid Al‐Qurayshi ◽  
Jarrett Walsh ◽  
Rodrigo Bayon ◽  
Emad Kandil
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
National Level ◽  
Neck Surgery ◽  
Head And Neck Surgery

Implementation of a Novel Protocol for Preventing Venous Thromboembolism in Otolaryngology Patients

2021 ◽  
pp. 019459982110249
Author(s):  
Lirit Levi ◽  
Galia Spectre ◽  
Ofir Nesichi ◽  
Avi Leader ◽  
Pia Raanani ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
Care Center ◽  
Tertiary Care ◽  
Postoperative Bleeding ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
Assessment Model ◽  
Sinus Surgery ◽  
Secondary Outcome

Objective Venous thromboembolism (VTE) is a preventable cause of postoperative morbidity and mortality. The Caprini risk assessment model (CRAM) is a validated tool for estimating the risk for postoperative VTE. Previous studies demonstrated a low risk of VTE among otorhinolaryngology–head and neck surgery (ORL-HNS). Hence, our objective was to modify the CRAM-based protocol to be applicable for otolaryngology patients and assess protocol efficacy and safety. Study Design Observational pilot study conducted on ORL-HNS patients undergoing surgery. Setting University-affiliated tertiary care center. Methods We constructed a modified protocol based on the CRAM and previous reports in the ORL-HNS literature using a reduced postoperative anticoagulation regimen. Primary end point was symptomatic VTE up to 3 months after surgery. Main secondary outcome was postoperative bleeding. Results A total of 508 patients were enrolled. Of them, 48% underwent head and neck surgery, 18% direct laryngoscopy and transoral robotic surgery, 15% endoscopic sinus surgery, and 11% otology surgery. Adherence to the protocol was 79%. Mean follow-up time was 115 days (range, 30-448 days). Only 1 patient developed deep vein thrombosis, and none developed pulmonary embolism. Two patients had major bleeding not related to the use of anticoagulation. Conclusions Our novel CRAM-based protocol appears to be efficacious and safe for VTE prevention in otolaryngology. A larger-scale study is required to validate these findings. Level of Evidence Level 2b.

Prophylaxis for venous thromboembolism in head and neck surgery: the practice of otolaryngologists

1997 ◽  
Vol 111 (9) ◽  
pp. 845-849 ◽  
Author(s):  
K. W. Ah-See ◽  
J. Kerr ◽  
D. W. Sim
Keyword(s):  
Head And Neck Cancer ◽  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Cancer ◽  
Neck Surgery ◽  
Cancer Surgery ◽  
Head And Neck Surgery ◽  
Surgical Patient ◽  
Thromboembolism Prophylaxis ◽  
Dvt Prophylaxis

AbstractDeep venous thrombosis (DVT) and pulmonary embolism (PE) are an important cause of morbidity and mortality in the surgical patient. The first guideline produced by the Scottish Intercollegiate Guidelines Network was for the prophylaxis of venous thromboembolism. Patients undergoing major head and neck cancer surgery commonly exhibit risk factors for venous thromboembolism. Currently, however, there are no data on its incidence in these patients. A questionnaire survey was performed to assess the current practice of consultant otolaryngologists regarding DVT prophylaxis in patients undergoing head and neck cancer surgery. Of those respondents who managed these patients, 57 per cent did not use routine DVT prophylaxis while 43 per cent did. A wide variety of techniques were employed among those practising DVT prophylaxis.A consensus is needed concerning the use of thromboembolism prophylaxis in head and neck surgery patients.

Systematic review and meta-analysis of venous thromboembolism in otolaryngology-head and neck surgery

Head & Neck ◽  
2017 ◽  
Vol 39 (6) ◽  
pp. 1249-1258 ◽  
Author(s):  
Sami P. Moubayed ◽  
Antoine Eskander ◽  
Moustafa W. Mourad ◽  
Sam P. Most
Keyword(s):  
Systematic Review ◽  
Venous Thromboembolism ◽  
Head And Neck ◽  
Meta Analysis ◽  
Neck Surgery ◽  
Head And Neck Surgery

Antithrombotic Therapy for Venous Thromboembolism and Prevention of Thrombosis in Otolaryngology–Head and Neck Surgery: State of the Art Review

2018 ◽  
Vol 158 (4) ◽  
pp. 627-636 ◽  
Author(s):  
John D. Cramer ◽  
Andrew G. Shuman ◽  
Michael J. Brenner
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Surgery ◽  
The United States ◽  
Head And Neck Surgery ◽  
Review Of Literature ◽  
Mechanical Prophylaxis ◽  
Thrombotic Complications ◽  
Prevention Guidelines ◽  
Prolonged Hospital

Objective The aim of this report is to present a cohesive evidence-based approach to reducing venous thromboembolism (VTE) in otolaryngology–head and neck surgery. VTE prevention includes deep venous thrombosis and pulmonary embolism. Despite national efforts in VTE prevention, guidelines do not exist for otolaryngology–head and neck surgery in the United States. Data Sources PubMed/MEDLINE. Review Methods A comprehensive review of literature pertaining to VTE in otolaryngology–head and neck surgery was performed, identifying data on incidence of thrombotic complications and the outcomes of regimens for thromboprophylaxis. Data were then synthesized and compared with other surgical specialties. Conclusions We identified 29 articles: 1 prospective cohort study and 28 retrospective studies. The overall prevalence of VTE in otolaryngology appears lower than that of most other surgical specialties. The Caprini system allows effective individualized risk stratification for VTE prevention in otolaryngology. Mechanical and chemoprophylaxis (“dual thromboprophylaxis”) is recommended for patients with a Caprini score ≥7 or patients with a Caprini score of 5 or 6 who undergo major head and neck surgery, when prolonged hospital stay is anticipated or mobility is limited. For patients with a Caprini score of 5 or 6, we recommend dual thromboprophylaxis or mechanical prophylaxis alone. Patients with a Caprini score ≤4 should receive mechanical prophylaxis alone. Implications for Practice Otolaryngologists should consider an individualized and risk-stratified plan for perioperative thromboprophylaxis in every patient. The risk of bleeding must be weighed against the risk of VTE when deciding on chemoprophylaxis.

scholarly journals Incidence of Venous Thromboembolism in Otolaryngology–Head and Neck Surgery

2013 ◽  
Vol 139 (1) ◽  
pp. 21 ◽  
Author(s):  
Frank G. Garritano ◽  
Erik B. Lehman ◽  
Genevieve A. Andrews
Keyword(s):  
Venous Thromboembolism ◽  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery
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