Current practices in venous thromboembolism prophylaxis in otolaryngology-head and neck surgery

Background There has been recent investigation into the incidence of venous thromboembolism in otolaryngology, but the current utilization of venous thromboembolic (VTE) prophylaxis among practicing otolaryngologists remains largely unknown. Methods A survey of 26 questions was emailed to 4376 otolaryngologists. Results A total of 4376 surveys were sent and 676 were returned for a response rate of 15.4%. Intraoperative prophylaxis was used by 535 respondents (83%), either with intermittent pneumatic compression (91.8%), compression stockings (35.9%), or low-molecular-weight heparin (LMWH; 12.3%). Postoperative prophylaxis was used by 540 respondents (85.4%), either with early ambulation (87.8%), intermittent pneumatic compression (85.4%), compression stockings (43.3%), or LMWH (42.4%). The vast majority (88.3%) stated they would find thromboprophylaxis guidelines released by the American Academy of Otolaryngology - Head and Neck Surgery to be helpful. Conclusion Current practices in venous thromboembolism prophylaxis vary widely among the otolaryngology community. A set of clear specialty-specific guidelines may be helpful.