Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Zeng, Ruolan; Li, Wei; Ma, Yue; Zi, Xu; Ai, Jingang; Tan, Guolin

doi:10.3109/00016489.2013.879739

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…Although it is a rare and essentially nonfatal adverse event, efforts should be made to reduce postoperative bleeding to zero whenever possible. A previous study reported a postoperative bleeding frequency of 8.4%, which is generally similar to the results of the present study, but with no marked difference in bleeding frequency according to surgical technique [ 1 ]. This is because instruments and workmanship differ among facilities, even for the same surgical procedure with the same name.…”

Section: Discussionsupporting

confidence: 91%

“…There are few reports on postoperative bleeding after endoscopic nasal and sinus surgery [ 1 , 2 ], and the factors contributing to postoperative bleeding are still debatable. In addition, it is crucial to understand when postoperative bleeding is most likely to occur and the types of procedures that are most likely to cause postoperative bleeding to provide more appropriate medical care.…”

Section: Introductionmentioning

confidence: 99%

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Epidemiology of postoperative bleeding after endoscopic nasal and sinus surgery and factors associated with bleeding

Hemmi,

Nomura,

Kobayashi

et al. 2023

Eur Arch Otorhinolaryngol

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Purpose Endoscopic nasal and sinus surgery is a surgical procedure frequently performed by otolaryngologists. Postoperative bleeding is detrimental to both healthcare providers and patients. We investigated the epidemiology of postoperative bleeding during endoscopic nasal and sinus surgery and explored possible bleeding triggers. Methods We evaluated the patients who underwent endoscopic nasal and sinus surgery. Data regarding the age, sex, presence of hypertension, and abnormal coagulability, including oral anticoagulants, diagnoses, operative procedures, intraoperative use of drills and blood loss, and postoperative antimicrobial administration of eligible patients, were extracted from medical records and retrospectively reviewed. Results One hundred and eighty-six patients underwent endoscopic nasal or sinus surgery during the study period, and postoperative bleeding occurred in 9 patients (4.8%). Posterior nasal neurotomy (PNN) was the procedure most likely to cause postoperative bleeding (4 surgeries, 13.3%). Postoperative antimicrobial administration significantly reduced the incidence of postoperative bleeding (p = 0.04). Conclusions Postoperative bleeding requiring intervention occurs in 4.8% of cases, and PNN is associated with a high risk of postoperative bleeding. Wound infection is a potential cause of postoperative bleeding, and antimicrobial administration should be considered in addition to local treatment.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Epidemiology of postoperative bleeding after endoscopic nasal and sinus surgery and factors associated with bleeding

Hemmi,

Nomura,

Kobayashi

et al. 2023

Eur Arch Otorhinolaryngol

View full text Add to dashboard Cite

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Long-term patient-related outcome measures of septoplasty: a systematic review

Tsang

Nguyen

Sivesind

et al. 2018

Eur Arch Otorhinolaryngol

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Septoplasty appears to be a far from perfect treatment for nasal obstruction due to septal deviation. However, given the heterogeneity of data and lack of randomized controlled trials (RCTs), future RCTs and use of validated questionnaires would enable generation of superior levels of evidence. We suggest future prospective trials evaluating prognostic factors in septoplasty, to better inform patients and facilitate the development of guidelines for surgical intervention.

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Comparison of Clonidine and Metoprolol Effectiveness on the Control of Post-Operative Blood Pressure in Otorhinolaryngology-Head and Neck Surgeries: A Clinical Trial

Menezes¹,

Neto²,

Filho³

et al. 2021

OJAnes

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Univariate and multivariate analyses for postoperative bleeding after nasal endoscopic surgery

Cited by 3 publications

References 18 publications

Epidemiology of postoperative bleeding after endoscopic nasal and sinus surgery and factors associated with bleeding

Epidemiology of postoperative bleeding after endoscopic nasal and sinus surgery and factors associated with bleeding

Long-term patient-related outcome measures of septoplasty: a systematic review

Comparison of Clonidine and Metoprolol Effectiveness on the Control of Post-Operative Blood Pressure in Otorhinolaryngology-Head and Neck Surgeries: A Clinical Trial

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