Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors

John R. Salassa, Michael L. Hinni, David G. Grant, Richard E Hayden

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Objectives: To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. Study Design: A two-center prospective case series analysis. Subjects and Methods: Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. Results: 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. Conclusions: Bleeding after transoral laser microsurgery is rare but potentially life-threatening.

Original languageEnglish (US)
Pages (from-to)453-459
Number of pages7
JournalOtolaryngology - Head and Neck Surgery
Volume139
Issue number3
DOIs
StatePublished - Sep 2008

Fingerprint

Microsurgery
Lasers
Hemorrhage
Neoplasms
Arteries
Larynx
Pharynx
Ambulatory Surgical Procedures
Tongue
General Anesthesia
Mouth
Observation
Incidence

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors. / Salassa, John R.; Hinni, Michael L.; Grant, David G.; Hayden, Richard E.

In: Otolaryngology - Head and Neck Surgery, Vol. 139, No. 3, 09.2008, p. 453-459.

Research output: Contribution to journalArticle

Salassa, John R. ; Hinni, Michael L. ; Grant, David G. ; Hayden, Richard E. / Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors. In: Otolaryngology - Head and Neck Surgery. 2008 ; Vol. 139, No. 3. pp. 453-459.
@article{c2d9985570b84615b9b5e976af633771,
title = "Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors",
abstract = "Objectives: To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. Study Design: A two-center prospective case series analysis. Subjects and Methods: Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. Results: 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. Conclusions: Bleeding after transoral laser microsurgery is rare but potentially life-threatening.",
author = "Salassa, {John R.} and Hinni, {Michael L.} and Grant, {David G.} and Hayden, {Richard E}",
year = "2008",
month = "9",
doi = "10.1016/j.otohns.2008.06.010",
language = "English (US)",
volume = "139",
pages = "453--459",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "3",

}

TY - JOUR

T1 - Postoperative bleeding in transoral laser microsurgery for upper aerodigestive tract tumors

AU - Salassa, John R.

AU - Hinni, Michael L.

AU - Grant, David G.

AU - Hayden, Richard E

PY - 2008/9

Y1 - 2008/9

N2 - Objectives: To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. Study Design: A two-center prospective case series analysis. Subjects and Methods: Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. Results: 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. Conclusions: Bleeding after transoral laser microsurgery is rare but potentially life-threatening.

AB - Objectives: To report the incidence, cause, and outcome of bleeding after transoral laser microsurgery. Study Design: A two-center prospective case series analysis. Subjects and Methods: Seven hundred one patients underwent transoral laser microsurgery for tumors of the oral cavity, pharynx, and larynx from June 1996 through September 2006. Results: 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. Conclusions: Bleeding after transoral laser microsurgery is rare but potentially life-threatening.

UR - http://www.scopus.com/inward/record.url?scp=49549119396&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=49549119396&partnerID=8YFLogxK

U2 - 10.1016/j.otohns.2008.06.010

DO - 10.1016/j.otohns.2008.06.010

M3 - Article

C2 - 18722230

AN - SCOPUS:49549119396

VL - 139

SP - 453

EP - 459

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 3

ER -