Chiesa Estomba Carlos, Rivera Schmitz Teresa, Ossa Echeverri Carla Cristina, Betances Reinoso Frank Alberto, Osorio Velasquez Alejandra, Santidrian Hidalgo Carmelo
Otorhinolaryngology - Head & Neck Surgery Department, University Hospital of Vigo1; Vigo; Province: Pontevedra; Spain.
Otolaryngol Pol. 2015;69(3):31-6. doi: 10.5604/00306657.1156336.
Venous thromboembolic disease (VTD) includes deep vein thrombosis (DVT) and pulmonary embolism (PE), thus is one of the most feared postoperative complications developed by patients at any surgical department, because of high morbidity and mortality associated with it.
We performed a retrospective study including all patients operated on at the Otolaryngology Head and Neck Department (tertiary hospital) between January 2009 and December 2013.
A total of 9007 surgical procedures were performed, including 7150 elective surgeries under general anesthesia, with 2127 on children and 5023 on adults. A total of 1989 patients had oncological head and neck surgery, eight cases had VTE complications, which represents 0.08% of patients. All of those complicated cases had head and neck cancer (8/1989 = 0.4%) and belonged to the group of scheduled surgeries under general anesthesia (8/7150 = 0.1%).
The incidence of DVT and PE in ENT and head and neck surgery appears to be lower than in other surgical specialties. Oncological surgery of the head and neck, usually associated with other risk factors, appears to increase the risk of VTD.
静脉血栓栓塞性疾病（VTD）包括深静脉血栓形成（DVT）和肺栓塞（PE），是所有外科科室患者最担心出现的术后并发症之一，因为其发病率和死亡率都很高。
我们进行了一项回顾性研究，纳入了2009年1月至2013年12月期间在耳鼻喉头颈外科（三级医院）接受手术的所有患者。
共进行了9007例外科手术，其中包括7150例全身麻醉下的择期手术，其中儿童手术2127例，成人手术5023例。共有1989例患者接受了头颈肿瘤手术，8例出现VTE并发症，占患者总数的0.08%。所有这些并发症病例均患有头颈癌（8/1989 = 0.4%），且属于全身麻醉下的 scheduled 手术组（8/7150 = 0.1%）。
耳鼻喉科和头颈外科中DVT和PE的发生率似乎低于其他外科专科。通常与其他危险因素相关的头颈肿瘤手术似乎会增加VTD的风险。 （注：原文中“scheduled surgeries”不太明确准确含义，可能是“预定手术”之类，这里直接保留英文未翻译完善）
