English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Tools annual

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Presents the access of premium content as premium feature

Premium Content

Global: Zendy Plus annual

Global: Zendy Free Plan

Background: Transnasal endoscopic surgery (TES) is an established procedure for the treatment of chronic rhinosinusitis, septal deviation, and paranasal benign tumours. Postoperative haemorrhage (POH) is a common complication following TES. Various studies have addressed the risk factors for intraoperative bleeding and the methods to improve the operative field by reducing bleeding. However, the factors affecting POH following TES have not been fully elucidated. Therefore, we aimed investigate the risk factors for POH following TES. Methodology: We studied 807 patients who underwent TES. The variables between cases with and without POH were compared using univariate and multivariate models. We also examined the site and timing of bleeding. Results: POH was observed in 21 cases (2.6%). Seven cases required treatment in the operation room (0.9%). The most common sites of bleeding were around sphenopalatine foramen, and the median time to POH was the 7th day after surgery. Multivariate analysis showed that anti-thrombotic medication, low platelet count, and surgical indication for sinonasal tumour were independent risk factors for POH. Conclusions: POH after TES is a relatively common complication. Careful intraoperative haemostatic procedures may be required in these cases.

Factors impacting postoperative haemorrhage after transnasal endoscopic surgery