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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
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Tonsillectomy on rivaroxaban.

Alok T Saini1, Victor J Schorn1, Fred Y Lin1

  • 1Department of Otolaryngology, Head and Neck Surgery, Mount Sinai Hospital New York, New York.

American Journal of Otolaryngology
|December 3, 2014
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Summary
This summary is machine-generated.

This case report shows that tonsillectomy can be safely performed in patients taking rivaroxaban, a direct oral anticoagulant. This highlights successful perioperative management of anticoagulation for the procedure.

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Area of Science:

  • Otolaryngology
  • Pharmacology
  • Hematology

Background:

  • Direct oral anticoagulants (DOACs) like rivaroxaban are increasingly replacing vitamin K antagonists.
  • Perioperative management guidelines for DOACs are crucial for surgical procedures.

Observation:

  • A 38-year-old female on rivaroxaban for deep vein thrombosis and pulmonary embolism underwent tonsillectomy.
  • The patient received perioperative management according to current recommendations for rivaroxaban.

Findings:

  • The tonsillectomy was successfully performed without thrombotic or hemorrhagic complications.
  • This is the first reported case of tonsillectomy in a patient anticoagulated with rivaroxaban.

Implications:

  • Tonsillectomy appears feasible in patients anticoagulated with rivaroxaban.
  • Otolaryngologists must be aware of DOACs and their perioperative management.
  • Further research is needed to compare DOACs with vitamin K antagonists for tonsillectomy.