JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2011, Vol. 25 ›› Issue (6): 1-3.

• Articles •     Next Articles

Causes and treatment of secondary hemorrhage after Uvulopalatopharyngoplasty  

ZHAO Xin, ZHANG Qing-quan,  WANG Qiang, LIU Zhong-lu   

  1. Department of Otolaryngology & Head and Neck Surgery, Yantai Yuhuangding Hospital,
    Yantai 264000, Shandong, China
  • Received:2011-07-10 Revised:2011-10-19 Online:2011-12-16 Published:2011-12-16

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Abstract:

Objective   To discuss the causes and preventive methods of secondary hemorrhage after Uvulopalatopharyngoplasty(UPPP). Methods   476 UPPP procedures ,performed from August 2002 to December 2010, were reviewed according to the Windfuhr J bleeding classification system. Results   26 patients suffered from postoperative bleeding, including 17 cases of secondary bleeding.We found that grade 1 bleeding occurred in 5 cases(1%), grade 2 in 7 cases(1.47%), grade 3 in 2 cases(0.42%), grade 4 in 3 cases(0.63%) and there was no grade 5 bleeding. The causes of secondary hemorrhage included failed suture in the operation, poorly controlled blood pressure, postoperative cough, and wound infection. All patients were cured with proper treatment. Conclusion   According to our findings, it is important to decide surgical hemostatic intervention in time. Preventing secondary postoperative hemorrhage  can be achieved by proper measures.

Key words:  Uvulopalatopharyngoplasty(UPPP); Secondary hemorrhage; Cause; Treatment

CLC Number: 

  • R766.7
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