{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:23:13Z","timestamp":1777425793262,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2022,4,3]],"date-time":"2022-04-03T00:00:00Z","timestamp":1648944000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To report a case of a morbidly obese 17-year-old boy who presented 4\u2009days post-tonsillectomy with acute deep venous thromboses and a massive pulmonary embolism. To describe a protocol and decision-making tree for providing anticoagulation in the immediate post-tonsillectomy period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A chart review and review of the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The patient ultimately did well and had no bleeding from the tonsil beds or further thromboembolic complications. A review of the literature revealed no available data regarding the safety of anticoagulation in the immediate post-tonsillectomy period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>We propose that if anticoagulation is needed within 14\u2009days of tonsillectomy, submaximal anticoagulation with a reversible and titratable anticoagulant may be optimal. A multidisciplinary team approach is needed for these complex cases. Future reporting and investigation of anticoagulation post-tonsillectomy is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894221088178","type":"journal-article","created":{"date-parts":[[2022,4,4]],"date-time":"2022-04-04T01:20:30Z","timestamp":1649035230000},"page":"346-350","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Between a Rock and a Hard Place: Anticoagulating an Adolescent with Post-Tonsillectomy Massive PE: A Case Report"],"prefix":"10.1177","volume":"132","author":[{"given":"Aoi","family":"Shimomura","sequence":"first","affiliation":[{"name":"Loyola University Stritch School of Medicine, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7657-7656","authenticated-orcid":false,"given":"Sullivan","family":"Smith","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Darki","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie","family":"Kamberos","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Charous","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center, Maywood, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,3]]},"reference":[{"key":"bibr1-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70376-6"},{"key":"bibr2-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.107454"},{"key":"bibr3-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101004"},{"key":"bibr4-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.127.10.1271"},{"key":"bibr5-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.09.007"},{"key":"bibr6-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12106"},{"key":"bibr7-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1177\/0194599820970943"},{"key":"bibr8-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.0269"},{"key":"bibr9-00034894221088178","doi-asserted-by":"publisher","DOI":"10.1378\/chest.15-0808"},{"key":"bibr10-00034894221088178","unstructured":"Gutierrez Bernal A, Fanola C, Alan Bartos J. 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