Journal Reviews

Which patients are more likely to have postoperative pulmonary complications after major head and neck?

1 August 2017 | Postoperative pulmonary complications (PPCs), Risk factors, Oral and maxillofacial surgery

Postoperative pulmonary complications (PPC) following major head and neck surgery are frequently encountered. Indeed, surgery in the head and neck area itself has been identified as a risk factor for these complications. Microvascular reconstruction is a widely accepted and proven...

IV dexamethasone versus LA infiltration during paediatric tonsillectomy

1 May 2017 | | Analgesics, Corticosteroids, Local infiltration, Pain, Postoperative vomiting

Postoperative nausea and vomiting following tonsillectomy is important to control for improved oral intake and satisfaction following surgery. Optimal management is still debated. This team from Beirut conducted a randomised double blind clinical trial comparing the effect of intravenous dexamethasone...

Does ‘weekend effect’ alter post tonsillectomy haemorrhage rates?

1 January 2017 | | Elective Surgical Procedures, Postoperative Hemorrhage, Tonsillectomy

Staffing levels are generally low over the weekends and senior physicians are less easily available. It is generally believed that this affects patients undergoing high-risk surgery. Whether doing tonsillectomy at weekends adds to the risks of post tonsillectomy haemorrhage is...

Risk factors for post tonsillectomy bleeds

1 November 2014 | | Skull Base Surgery, Head and Neck | Bleeding, Postoperative hemorrhage, Reoperation, Tonsillectomy

This paper reviews post-tonsillectomy bleeding in 692 patients and attempts to tease out risk factors. The overall bleed rate of 11.6% seems very high. The return to theatre rate was 2.6%. The paper identifies male patients and adult patients as...

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