Aeroallergen sensitivities and development of chronic rhinosinusitis in 13 adults who initially had allergic rhinitis

Keypoints• Post-thyroidectomy haemorrhage is an uncommon, but potentially lethal complication of thyroid surgery.The 4th BAETS audit data suggest a slightly higher rate of haemorrhage in those patients with Graves' thyrotoxicosis, although this is statistically insignificant.• During the time period analysed, 1280 thyroid opera- tions were performed; 532 (42%) were total thyroidectomies, of which 244 (45.9%) were for Graves' disease.• Pooled local data showed a postoperative haemorrhage rate of 2.11% (Twenty seven patients).Subgroup analysis showed preponderance towards haemorrhage in those with Graves' disease compared to those with non-Graves' disease (OR 3.95, 95% CI 1.83-8.50,P < 0.001).• The average time to diagnosis of significant haemorrhage was 9.7 hours, with one-third of diagnoses occurring after 24 h.Local haemorrhage rates differed significantly from those of the BAETS audit (v 2 P < 0.001).• Patients with Graves' disease are significantly more likely to bleed postoperatively than those without Graves' disease.In almost one half of all cases of haemorrhage, no specific bleeding point can be found upon return to theatre.Aeroallergen sensitivities and development of chronic rhinosinusitis in 13 adults who initially had allergic rhinitis