Surgical management of the patient with hemophilia undergoing oral surgery: A case report
DOI:
https://doi.org/10.59334/ROV.v2i33.405Keywords:
Surgical management, hemophilia, oral surgery, Hematologic Diseases, Blood Coagulation Disorders, Hemorrhagic DisordersAbstract
Introduction: Hemophilia is a congenital deficiency of a coagulation factor, associated to a recessive pattern located in the X chromosome, which induces a lower or even absent functional activity of that factor.
Objective: To provide a narrative review of the literature about haemophiliac patients, as well as a case report of a patient.
Methods: Female patient, 18 years old, attended in the postgraduate of Maxillofacial Surgery of the Andrés Bello University to Santiago, Chile, derived to perform extractions of wisdom teeth due to the end of its orthodontic mechanics. At the anamnesis, the patient reports to suffer from mild hemophilia A, and 6 months ago she had 38% VIII factor. Prior to surgical treatment, a complete blood count with a coagulation test was requested to measure TTPA. In addition, an interconsultation was made with the treating hematologist to perform a hicorrect management to assess of her pathology and recommendations to carry out it with the least amount of intrasurgical and post-surgical risks. Suggested the administration of factor of freeze dried VIII factor before and after surgery. Local hemostasis measures were also applied for better control and proper post-surgical pain
management.
Conclusion: Hemophilia, requires the dentist to perform a thorough management pre, intra and postoperatory, in which complementary tests, communication with the hematologist, atraumatic procedure and a precise management of hemostasis, are key for the treatment’s success.
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