Hemostasis in Otologic and Neurotologic Surgery.
Hemostasis is a critical component of otologic and neurotologic surgery. In these surgeries the surgical field is small; thus, even a small amount of bleeding can obstruct the view of critical and extremely small structures. Additionally, relatively large vascular structures traverse the area; if they are encroached on by trauma or disease, bleeding must be controlled within a very small space in a meticulous fashion that does not encroach on structures of the middle ear and mastoid. The authors discuss several hemostatic agents in the middle ear, mastoid, and lateral skull base, highlighting their origins, mechanisms, advantages, and complications.
Department of Medicine, Crozer-Keystone Health System, Drexel Hill, PA 19026, USA.
Asmi
A
Sanghvi
Department of Otolaryngology, Head and Neck Surgery, Temple University School of Medicine, 3509 North Broad Street, Philadelphia, PA 19140, USA.
Brad
B
Bauer
Department of Otolaryngology, Head and Neck Surgery, Temple University School of Medicine, 3509 North Broad Street, Philadelphia, PA 19140, USA. Electronic address: pamela.roehm@tuhs.temple.edu.
Pamela C
PC
Roehm
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D004427:Ear Diseases / Q000601:surgery*; D004432:Ear, Middle / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods*; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000494:pharmacology*; D006801:Humans; D008416:Mastoid / Q000601:surgery; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods; D013506:Otologic Surgical Procedures / Q000009:adverse effects / Q000379:methods; D019291:Skull Base / Q000601:surgery
D006490:Hemostatics
Bleeding; Hemostasis; Lateral skull base; Mastoid; Middle ear