title: Bloody otorrhea after robotically assisted laparoscopic prostatectomy.
abstract: Bilateral bloody otorrhea is a rare complication of surgery and to our knowledge a previously unpublished event. We review the case of a 50-year-old male who underwent robotic-assisted laparoscopic radical prostatectomy (RALP) with bilateral lymphadenectomy for Gleason's Score 4 + 4 = 8 prostate cancer. Bloody discharge from bilateral auditory canals was noted upon removal of the surgical drapes. Otolaryngologic examination revealed bilateral anterior auditory canal hematomas without any loss of hearing. Steep Trendelenburg position in combination with perioperative anticoagulants may have contributed to this complication. Given the rarity of this event no specific risk factors are identified.
authors.affiliation: Department of Urology, The University of Chicago Medicine, Chicago, Illinois, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Cohen
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Ledezma-Rojas
authors.forename: Ernest
authors.initials: E
authors.lastname: Mhoon
authors.forename: Gregory
authors.initials: G
authors.lastname: Zagaja
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects; D004424:Ear Canal; D004427:Ear Diseases / Q000209:etiology*; D018475:Head-Down Tilt / Q000009:adverse effects*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019106:Postoperative Hemorrhage / Q000209:etiology*; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D065287:Robotic Surgical Procedures
chemical_list: D000925:Anticoagulants