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Pediatric otolaryngologic manifestations of bleeding disorders

Gino Marioni1, Cosimo de Filippis

  • 1Department of Medical and Surgical Specialties, University of Padova, Padova, Italy.

International Journal of Pediatric Otorhinolaryngology
|February 2, 2010
PubMed

Insights

Otolaryngologists must understand pediatric bleeding disorders for effective preoperative screening. A thorough bleeding history is crucial for guiding laboratory tests and ensuring safe surgical procedures.

Area of Science:

  • Pediatric Otolaryngology
  • Hematology
  • Surgical Patient Management

Background:

  • Bleeding from the nose and throat is a common concern in otolaryngology.
  • The utility of universal preoperative coagulation screening in children remains debated.
  • Understanding bleeding disorders is essential for otolaryngologists.

Purpose of the Study:

  • To review clotting disorders relevant to pediatric otolaryngology.
  • To discuss vascular disorders, platelet disorders, coagulation disorders, and thrombosis.
  • To guide appropriate preoperative screening for surgical patients.

Main Methods:

  • An exhaustive literature review was conducted.
  • Evidence regarding pediatric otolaryngologic manifestations of bleeding disorders was investigated.

Main Results:

  • Many common bleeding disorders present with head and neck manifestations.
  • Bleeding history is the most critical part of preoperative assessment.
  • Laboratory evaluation should be directed by the bleeding history.

Conclusions:

  • Familiarity with bleeding disorders aids in selecting appropriate preoperative screening.
  • Close collaboration with the Hematology Department is vital for surgeries in children with bleeding disorders.
Abstract

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