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. 2015;69(3):31-6.
doi: 10.5604/00306657.1156336.

The risk of venous thromboembolism in ENT and head & neck surgery

Carlos Chiesa Estomba  1 , Teresa Rivera Schmitz  1 , Carla Cristina Ossa Echeverri  1 , Frank Alberto Betances Reinoso  1 , Alejandra Osorio Velasquez  1 , Carmelo Santidrian Hidalgo  1
Affiliations

The risk of venous thromboembolism in ENT and head & neck surgery

Carlos Chiesa Estomba et al. Otolaryngol Pol. 2015.

Abstract

Objectives: Venous thromboembolic disease (VTD) includes deep vein thrombosis (DVT) and pulmonary embolism (PE), thus is one of the most feared postoperative complications developed by patients at any surgical department, because of high morbidity and mortality associated with it.

Materials and methods: We performed a retrospective study including all patients operated on at the Otolaryngology Head and Neck Department (tertiary hospital) between January 2009 and December 2013.

Results: A total of 9007 surgical procedures were performed, including 7150 elective surgeries under general anesthesia, with 2127 on children and 5023 on adults. A total of 1989 patients had oncological head and neck surgery, eight cases had VTE complications, which represents 0.08% of patients. All of those complicated cases had head and neck cancer (8/1989 = 0.4%) and belonged to the group of scheduled surgeries under general anesthesia (8/7150 = 0.1%).

Conclusion: The incidence of DVT and PE in ENT and head and neck surgery appears to be lower than in other surgical specialties. Oncological surgery of the head and neck, usually associated with other risk factors, appears to increase the risk of VTD.

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