Dulguerov et al identified patients who are more likely to require blood transfusion in conjunction with head and neck surgery. A high risk patient may be a candidate for autologous blood product collection. The authors are from University Hospital of Geneva.



(1) type of surgery

(2) clinical factors (if operation associated with moderate risk of transfusion)


Operations associated with high risk (>= 80% chance) of blood transfusion:

(1) bilateral radical neck dissection

(2) maxillectomy with or without craniofacial resection

(3) composite resections

(4) partial mandibulectomy


Operations associated with moderate (15 to 40% chance) risk of blood transfusion:

(1) total laryngectomy with neck dissection

(2) glossectomy

(3) unilateral radical neck dissection

(4) laternal rhinotomy


The chances of being transfused during a moderate risk procedure is greater if:

(1) the patient is older (> 60 years of age)

(2) the patient has a low normal hemoglobin or is anemic prior to surgery

(3) the patient has cardiovascular and/or pulmonary health problems


Operations associated with low risk (< 5% chance) of blood transfusion:

(1) partial laryngectomy

(2) parotidectomy

(3) unilateral or bilarteral functional neck dissection

(4) total laryngectomy without neck dissection

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