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Knot to be condemned

P H Rhŷs Evans1

  • 1Royal Marsden Hospital, London.

The Journal of Laryngology and Otology
|January 1, 1993
PubMed
Summary

Post-mastoid and middle ear surgery, pressure bandages can cause rare complications. The knot used to secure bandages may injure underlying tissues, leading to previously undescribed post-operative issues.

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Area of Science:

  • Otolaryngology
  • Surgical Complications
  • Post-operative Care

Background:

  • Mastoid and middle ear surgeries are common procedures.
  • Post-operative pressure bandages are routinely applied to reduce swelling.
  • Bandages are typically secured using methods that avoid eye contact.

Observation:

  • A common method involves using ribbon gauze tied in a knot over the temporal region.
  • This knot placement can exert pressure on the underlying tissues.
  • This pressure point has not been previously recognized as a source of complications.

Findings:

  • The pressure exerted by the bandage knot can lead to hitherto undescribed post-operative complications.
  • These complications arise from direct injury to the tissues beneath the knot.
  • Specific types of injury and their clinical manifestations require further investigation.

Implications:

  • Surgical teams should be aware of potential knot-related pressure injuries.
  • Alternative methods for securing post-operative bandages may be considered.
  • Further research is needed to characterize and prevent these complications.

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