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Hypercoagulability in otologic patients

S Gold¹, D B Kamerer, B E Hirsch

¹Department of Otolaryngology, University of Pittsburgh, School of Medicine, PA 15213.

American Journal of Otolaryngology

|September 1, 1993

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Hypercoagulable states can complicate otologic disorders, leading to serious outcomes. Early diagnosis and hematologic consultation are crucial for managing these thromboembolic events in otolaryngology patients.

Area of Science:

Otolaryngology
Hematology
Thrombosis

Background:

Hypercoagulability can present with various otologic disorders.
Awareness among otolaryngologists is key for timely diagnosis and management.
Expert hematologic consultation is recommended for complex cases.

Observation:

Three patients with otologic issues experienced hypercoagulability complications.
Cases included dural venous sinus thrombosis, glomus jugulare tumor, and sudden sensorineural hearing loss.
Patients were evaluated and treated in collaboration with hematology services.

Findings:

One patient had inherited hypercoagulopathy; two had acquired forms.
Two patients were stabilized with lifelong anticoagulation.

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One patient succumbed to complications, highlighting the severity of acquired hypercoagulable states.

Implications:

Otolaryngologists must recognize and investigate thromboembolic events.
Accurate diagnosis and characterization of hypercoagulable states impact treatment.
Proactive management can improve patient outcomes in otologic hypercoagulability.