Post-operative venous thromboembolism in patients after extracranial otologic surgery: A case series

作     者：Davit Mazmanyan Rongrong Zhu Juanjuan Gao Yu Yang Jiake Zhong Junyan Chen Haijin Yi Weiwei Wu Davit Mazmanyan;Rongrong Zhu;Juanjuan Gao;Yu Yang;Jiake Zhong;Junyan Chen;Haijin Yi;Weiwei Wu

作者机构：Department of Vascular SurgeryBeijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing102218China Department of OtolaryngologyHead&Neck SurgeryBeijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing102218China 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2024年第19卷第2期

页      面：59-62页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100213[医学-耳鼻咽喉科学] 10[医学] 

主　　题：Venous thromboembolism(VTE) Extracranial otologic surgery Caprini risk score D-dimer level 

摘      要：Objective:This study aimed to report 9 venous thromboembolism(VTE)cases after extracranial otologic surgery and analyze the potential risk *** design:Case ***:Single tertiary-level academic ***:Totally,9 cases of VTE were identified among adults who underwent extracranial otologic surgery at our hospital from January 2018 to December *** risk scores were calculated,and comprehensive preoperative,operative,and postoperative clinical data within 14 days were collected to assess the evidence of ***:The median age of 9 patients was 64 years *** them,7(77.8%)patients presented with intramuscular vein thrombosis,1(11.1%)patient had deep vein thrombosis,and 1(11.1%)patient experienced pulmonary ***,8(88.9%)patients had low or middle Caprini risk scores(≤4)with an average of 2.67±0.47 *** 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 *** postoperative period,7(77.8%)patients experienced vertigo/dizziness and/or head immobility/bed ***:The present study highlighted that patients with low-and middle-risk of VTE undergoing otologic surgery should be also vigilant about postoperative ***/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 *** perioperative assessments,including Caprini risk score evaluation,Ddimer testing,and venous ultrasound of lower extremities,is recommended to ensure patients’safety.