抄録
We performed a retrospective review of 1265 surgical procedures performed at our department between January 2007 and December 2011. We identified 20 patients with post-operative hemorrhage in head and neck surgery. The procedure most often complicated by wound bleeding was parotidectomy (6.5%), followed by laryngectomy (3.9%). Symptoms of hemorrhage developed within was obsevued 12 hours in 85% of the patients. However, delayed hemorrhage, more than 24 hours after the operations, in two cases. In our study, two cases of laryngeal edema were found after re-operation, with tracheostomy necessitated in one case.
Careful hemostasis and early recognition with immediate intervention are required to prevent severe complications after head and neck surgery.