I D Hewson1, P Makhmaloaf. 1. The Alfred Hospital, Prahran, Victoria. i.hewson@alfred.org.au
Abstract
BACKGROUND: Patients with inherited bleeding disorders have historically had factor cover for oral surgery. Factor support is expensive, time consuming and places the patient at a potential risk of blood-borne diseases. This case describes the use of a significant reduction in factor support for a severe haemophilia B patient having third molars surgically removed. METHODS: Local measures were used after a single preoperative dose of Factor IX to obtain good postoperative haemostasis. RESULTS: Excellent haemostasis was achieved using local measures of 5% tranexamic acid solution, Surgicel® and Monocryl® sutures after a single preoperative dose of Factor IX. CONCLUSIONS: Oral surgery may be performed on patients with inherited bleeding disorders using minimal factors and local haemostatic measures. A study of this patient population has commenced at The Alfred Hospital.
BACKGROUND:Patients with inherited bleeding disorders have historically had factor cover for oral surgery. Factor support is expensive, time consuming and places the patient at a potential risk of blood-borne diseases. This case describes the use of a significant reduction in factor support for a severe haemophilia Bpatient having third molars surgically removed. METHODS: Local measures were used after a single preoperative dose of Factor IX to obtain good postoperative haemostasis. RESULTS: Excellent haemostasis was achieved using local measures of 5% tranexamic acid solution, Surgicel® and Monocryl® sutures after a single preoperative dose of Factor IX. CONCLUSIONS: Oral surgery may be performed on patients with inherited bleeding disorders using minimal factors and local haemostatic measures. A study of this patient population has commenced at The Alfred Hospital.