Evidence map›Paper›PMID 38085306›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2024

Epidemiology of postoperative bleeding after endoscopic nasal and sinus surgery and factors associated with bleeding.

Tomotaka Hemmi, Kazuhiro Nomura, Yuta Kobayashi, Yuki Numano, Ryoukichi Ikeda, Mitsuru Sugawara, Yukio Katori

Open access · hybridAbstract read
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In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Severe Postoperative Epistaxis Revealing Immune Thrombocytopenia: A Case Report.Journal of rhinology : official journal of the Korean Rhinologic Society · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Tomotaka HemmiDepartment of Otolaryngology, Tohoku Kosai Hospital, 2-3-11 Kokubun-cho, Aoba-Ku, Sendai, 980-0803, Japan. hemmi@orl.med.tohoku.ac.jp.ORCID http://orcid.org/0000-0002-9860-3293
Kazuhiro NomuraDepartment of Otolaryngology, Tohoku Kosai Hospital, 2-3-11 Kokubun-cho, Aoba-Ku, Sendai, 980-0803, Japan.
Yuta KobayashiDepartment of Otolaryngology, Head and Neck Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-Ku, Sendai, 980-8574, Japan.
Yuki NumanoDepartment of Otolaryngology, Head and Neck Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-Ku, Sendai, 980-8574, Japan.
Ryoukichi IkedaDepartment of Otolaryngology-Head and Neck Surgery, Iwate Medical University School of Medicine, 1-1-1 Yahaba-cho, Shiwa-gun, Iwate, 028-3695, Japan.
Mitsuru SugawaraDepartment of Otolaryngology, Tohoku Kosai Hospital, 2-3-11 Kokubun-cho, Aoba-Ku, Sendai, 980-0803, Japan.
Yukio KatoriDepartment of Otolaryngology, Head and Neck Surgery, Tohoku University School of Medicine, 1-1 Seiryo-machi, Aoba-Ku, Sendai, 980-8574, Japan.
KKR Tohoku Kosai Hospital · JPTohoku University · JPIwate Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndoscopic nasal and sinus surgery is a surgical procedure frequently performed by otolaryngologists. Postoperative bleeding is detrimental to both healthcare providers and patients. We investigated the epidemiology of postoperative bleeding during endoscopic nasal and sinus surgery and explored possible bleeding triggers.

methodsWe evaluated the patients who underwent endoscopic nasal and sinus surgery. Data regarding the age, sex, presence of hypertension, and abnormal coagulability, including oral anticoagulants, diagnoses, operative procedures, intraoperative use of drills and blood loss, and postoperative antimicrobial administration of eligible patients, were extracted from medical records and retrospectively reviewed.

resultsOne hundred and eighty-six patients underwent endoscopic nasal or sinus surgery during the study period, and postoperative bleeding occurred in 9 patients (4.8%). Posterior nasal neurotomy (PNN) was the procedure most likely to cause postoperative bleeding (4 surgeries, 13.3%). Postoperative antimicrobial administration significantly reduced the incidence of postoperative bleeding (p = 0.04).

conclusionsPostoperative bleeding requiring intervention occurs in 4.8% of cases, and PNN is associated with a high risk of postoperative bleeding. Wound infection is a potential cause of postoperative bleeding, and antimicrobial administration should be considered in addition to local treatment.

Indexed as

Anti-Infective AgentsEndoscopyHumansNosePostoperative HemorrhageRetrospective StudiesAnti-Infective AgentsEndoscopic surgeryNasalPostoperative bleedingSinus

Identifiers

PMID38085306
PMCPMC10942910
OpenAlexW4389615710

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.