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Surgical Procedures on the Cirrhotic Patient pp 301–308Cite as

Head and Neck Issues in Cirrhotic Patients

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Abstract

Head and neck issues in patients with liver failure include upper aerodigestive bleeding, need for tracheostomy, and head and neck cancer. Epistaxis has a higher rate of complications in patients with liver failure. Multiple management options exist for epistaxis. Severe bleeding may need surgical or radiologic intervention. Oral bleeding after dental procedures is common and can usually be managed with local interventions. Critically ill patients with liver failure often need a tracheostomy to avoid complications of prolonged intubation. Tracheostomy should be considered in patients in whom greater than 10 days of continuous mechanical ventilation are anticipated. This should be done by an experienced surgeon in the operating theater. Decannulation should be attempted when the criteria are met. The most common head and neck malignancies in liver failure patients are skin neoplasms, malignancies of the aerodigestive tract, and salivary gland cancers.

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Authors and Affiliations

  1. Cleveland Clinic Head and Neck Institute, Cleveland Clinic Main Campus, 9500 Euclid Avenue, Cleveland, OH, 44195, USA

    Robert R. Lorenz MD & Dennis Tang MD

Authors
  1. Robert R. Lorenz MD
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  2. Dennis Tang MD
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Correspondence to Robert R. Lorenz MD .

Editor information

Editors and Affiliations

  1. Transplantation Center, Department of General Surgery, Cleveland Clinic, Cleveland, Ohio, USA

    Bijan Eghtesad

  2. Department of Surgery, University of Chicago, Chicago, Illinois, USA

    John Fung

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Lorenz, R.R., Tang, D. (2017). Head and Neck Issues in Cirrhotic Patients. In: Eghtesad, B., Fung, J. (eds) Surgical Procedures on the Cirrhotic Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-52396-5_23

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  • DOI: https://doi.org/10.1007/978-3-319-52396-5_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52394-1

  • Online ISBN: 978-3-319-52396-5

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