Post-operative venous thromboembolism in patients after extracranial otologic surgery:A case series
Davit Mazmanyan1
Rongrong Zhu1
Juanjuan Gao2
Yu Yang1
Jiake Zhong2
Junyan Chen2
Haijin Yi2
Weiwei Wu1
1.Department of Vascular Surgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing,102218,China2.Department of Otolaryngology,Head & Neck Surgery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing,102218,China
摘要：Objective:This study aimed to report 9 venous thromboembolism(VTE)cases after extracranial otologic surgery and analyze the potential risk factors.
Study design:Case series.
Setting:Single tertiary-level academic center.
Methods:Totally,9 cases of VTE were identified among adults who underwent extracranial otologic surgery at our hospital from January 2018 to December 2020.Caprini risk scores were calculated,and comprehensive preoperative,operative,and postoperative clinical data within 14 days were collected to assess the evidence of VTE.
Results:The median age of 9 patients was 64 years old.Among them,7(77.8％)patients presented with intra-muscular vein thrombosis,1(11.1％)patient had deep vein thrombosis,and 1(11.1％)patient experienced pulmonary embolism.Preoperatively,8(88.9％)patients had low or middle Caprini risk scores(≤4)with an average of 2.67±0.47 points.The average Caprini scores for all patients were 4.44±0.35 on postoperative day(POD)1 and 5.67±0.64 on POD14.D-dimer levels were collected,indicating an average of 0.55±0.17 mg/FEU preoperatively,8.53±3.94 mg/FEU at day 1,and 3.76±0.45 mg/FEU at POD14.In postoperative period,7(77.8％)patients experienced vertigo/dizziness and/or head immobility/bed rest.
Conclusion:The present study highlighted that patients with low-and middle-risk of VTE undergoing otologic surgery should be also vigilant about postoperative VTE.Vertigo/dizziness and/or head immobility/bed rest in postoperative period should be considered as minor risk factors for developing VTE in patients undergoing extracranial otologic surgery.Conducting perioperative assessments,including Caprini risk score evaluation,D-dimer testing,and venous ultrasound of lower extremities,is recommended to ensure patients'safety.
机标关键词：surgeryseriescaseafterextracranialotologicpatientspost-operative
论文发表日期：2024-06-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 59-62 )
英文信息