Abstract
To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. A two-center prospective case series analysis. Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. 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. Bleeding after transoral laser microsurgery is rare but potentially life-threatening.
References
Nov 1, 1987·The Laryngoscope·T A TamiR E Taylor
Feb 15, 2001·Archives of Otolaryngology--head & Neck Surgery·B Kremer, G Schlöndorff
Feb 28, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P AmbroschW Steiner
Mar 3, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·W SteinerM Kron
Apr 15, 2003·Head & Neck·Isabel Vilaseca-GonzálezMiguel Moragas-Lluis
Oct 2, 2004·Head & Neck·Isabel VilasecaMiguel Moragas
Dec 6, 2006·The Laryngoscope·David G GrantWilliam C Perry
Dec 6, 2006·The Laryngoscope·David G GrantWilliam C Perry
Feb 21, 2007·Archives of Otolaryngology--head & Neck Surgery·Jürg KutterPhilippe Pasche
Jun 6, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·David G GrantWilliam C Perry
Dec 19, 2007·Archives of Otolaryngology--head & Neck Surgery·Michael L HinniWolfgang Steiner
Citations
Feb 23, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·John R SalassaJohn D Casler
Jun 4, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Masayuki TomifujiAkihiro Shiotani
Sep 22, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Manuel Bernal-SprekelsenIsabel Vilaseca
Nov 17, 2009·Expert Review of Medical Devices·Guy J Petruzzelli
Feb 7, 2012·Head & Neck·R SouvirónJ Sañudo
Sep 28, 2012·Head & Neck·David J AdelsteinClaudio Dansky Ullmann
May 13, 2014·Head & Neck·Karim HammoudiSylvain Morinière
Oct 25, 2016·The Laryngoscope·Henry K SuRaymond L Chai
Jun 9, 2016·Otolaryngologic Clinics of North America·Julia A CrawfordJ Scott Magnuson
Jun 30, 2011·The Neuroradiology Journal·S M WeindlingD L Chellini
Dec 2, 2017·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·A HayI Ganly
Sep 20, 2018·The Laryngoscope·Alexander N GoelJennifer L Long
May 23, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·G TirelliM Piovesana
May 31, 2017·Cancers of the Head & Neck·David W SchoppyF Christopher Holsinger
Jun 5, 2015·Head & Neck·Migie LeeCarsten E Palme
Oct 1, 2021·Lasers in Medical Science·Nicoletta GardenalGiancarlo Tirelli