Aneurysma der A. lingualis als Ursache wiederholter Spätblutungen nach Tonsillektomie

Maurer, JT; Beck, C; Mann, Wolf J.

doi:10.1055/s-2007-998339

Cited by 11 publications

(3 citation statements)

References 5 publications

(6 reference statements)

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“…If the situation is not life-threatening, immediate arteriography is the method of choice to identify the bleeding source with simultaneous embolization. Life-threatening situation mandate an immediate surgical treatment [253], [254], [255], [256], [257], [258], [259], [260], [261], [262], [263], [264], [265], [266], [267], [268], [269], [270]. …”

Section: Discussionmentioning

confidence: 99%

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Windfuhr

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc08; ISSN 1865-1011

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Section: Discussionmentioning

confidence: 99%

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Windfuhr

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc08; ISSN 1865-1011

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“…nach geringfügigen initialen "Signalblutungen" auf [6,10,15,16,20]. Als Blutungsursprung werden von den Autoren Gefäßabgänge der A. carotis externa, vorzugsweise Aneurysmabildungen der A. lingualis angegeben [6,10,11,15]. Die Diskussion der Ursachen bezieht sich in erster Linie auf Präparationstechniken und gängige Techniken der Blutstillung.…”

Section: Diskussion Und Fazitunclassified

Mykotisches Aneurysma der Arteria carotis interna

Kleemann¹,

Dinsel²,

Radtke³

2008

Laryngo-Rhino-Otol

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The detection of aneurysms of the internal carotid artery due to acute or chronic neck infections seems to be a rather rarely event. However, if aneurysms or pseudoaneurysms of the neck region occur, than mostly by bleeding complication or unclear significant soft tissue swelling. The case of a patient is reported, who underwent an abscess tonsillectomy. The intraoperative situation of the right tonsillar fossa was found to show suspicious pulsations under the scarred and inflamed peritonsillar tissue layer. The postoperative performed intraarterial angiography verified the diagnosis of the aneurysm of the internal carotid artery nearby the tonsillar fossa. The diagnosis mycotic aneurysm has been concluded by the long lasting tonsillitis history with one further peritonillar abscess in the past, intraoperative and histological signs of peritonsillitis and the the result of an intraarterial angiography carried through 10 years ago without any clue to aneurysm. A bleeding complication did not occur in this case. The patient went into the care of vascular surgeons with the indication to perform a stent application.

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“…Die relativ einfache Erlern− barkeit brachte der Mandelentfernung den Ruf der Anfängerope− ration ein. Dem gegenüber stehen jedoch die Gefahren der Nach− blutung, die in der Literatur mit einer Häufigkeit von 1 ± 20 % (im Mittel bei 3 ± 5 %) angegeben wird [1,2].…”

Section: Diskussion Und Fazitunclassified

Arterielle Aneurysmen als Ursache schwallartiger Nachblutungen nach Tonsillektomie

Hoff¹,

Graumüller²,

Pau³

2005

Laryngo-Rhino-Otol

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Aneurysms of the external carotid artery can be causally for threatening late hemorrhage secondary to tonsillectomy. On the bases of typical, extended and finally dramatic bleeding course in a child the "clinical look" and the sensitivity should be raised for this bleeding cause. Characteristic after apparently inconspicuous post-operative first phase is late signal bleeding with little loss of blood which are replaced after following intervals free of bleeding from bleeding as flood with massive loss of blood. Then vessel-imaging (Angio-MRI or CT) is urgently indicated. By confirmation of the suspicion diagnosis the interventional angiography is the therapy of the choice, although after successful embolisation a fine-meshed postcontrol is necessary, because therapy failures are possible how the described case points. The highest security offers the surgical exploration with aimed vessel stopping.

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Aneurysma der A. lingualis als Ursache wiederholter Spätblutungen nach Tonsillektomie

Cited by 11 publications

References 5 publications

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Mykotisches Aneurysma der Arteria carotis interna

Arterielle Aneurysmen als Ursache schwallartiger Nachblutungen nach Tonsillektomie

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