An unusual complication of tonsillectomy

Walshe, Peter; Ramos, Edwin; Low, Chris; Thomas, Ligy; McWilliams, Richard G.; Hone, Stephen

doi:10.1016/s1479-666x(05)80096-4

Cited by 20 publications

(14 citation statements)

References 10 publications

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“…However, the pseudoaneurysm may not present immediately, but may slowing enlarge and present at a later time. Many cases of hemorrhage from pseudoaneurysm have presented in the range of 1–3 weeks after tonsillectomy [2,4–6,10,11]. This suggests the possibility of a pseudoaneurysm even in the absence of early hemorrhage.…”

Section: Discussionmentioning

confidence: 99%

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Choi

Cheng

Cobb

et al. 2017

Acta Oto-Laryngologica Case Reports

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This is a report of an illustrative case of recurrent post-tonsillectomy bleeding that was caused by an iatrogenic facial artery pseudoaneurysm and controlled by endovascular embolization. A 37 year-old female who underwent bilateral tonsillectomy for chronic tonsillitis had recurrent secondary hemorrhage despite multiple operative interventions to control the bleeding. Because of the recurrent nature of the bleeding, an angiography of the external carotid artery was performed demonstrating a pseudoaneurysm of the left facial artery with active extravasation. This was successfully embolized with ethylene vinyl alcohol copolymer and the bleeding did not recur. Most post-operative bleeds can be managed with bedside or intraoperative interventions. However, pseudoaneurysms should be considered in the differential diagnosis of recurrent bleeds refractory to surgical control.

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Section: Discussionmentioning

confidence: 99%

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Choi

Cheng

Cobb

et al. 2017

Acta Oto-Laryngologica Case Reports

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“…If the situation is not life-threatening, immediate arteriography is the method of choice to identify the bleeding source with simultaneous embolization. Life-threatening situation mandate an immediate surgical treatment [253], [254], [255], [256], [257], [258], [259], [260], [261], [262], [263], [264], [265], [266], [267], [268], [269], [270]. …”

Section: Discussionmentioning

confidence: 99%

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Windfuhr

2013

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 12:Doc08; ISSN 1865-1011

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“…A review by Schechter3 of 853 cervical carotid aneurysms demonstrated that only 2.2% primarily affected the external carotid. There have been only a limited number of reports describing pseudoaneurysm of the lingual artery 4–13. Most of them were secondary to surgery including tonsillectomy8, 9, 13 and total pharyngolaryngectomy 9, 12.…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of the lingual artery after concurrent intra‐arterial chemotherapy with radiotherapy for advanced tongue cancer

et al. 2011

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An unusual complication of tonsillectomy

Cited by 20 publications

References 10 publications

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Recurrent post-tonsillectomy bleeding due to an iatrogenic facial artery pseudoaneurysm

Malpractice claims and unintentional outcome of tonsil surgery and other standard procedures in otorhinolaryngology

Pseudoaneurysm of the lingual artery after concurrent intra‐arterial chemotherapy with radiotherapy for advanced tongue cancer

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