Orthognathic surgery in a patient with hemophilia A: report of a case.
Hemophilia A (factor VIII deficiency) is a bleeding disorder that is inherited in a recessive fashion and is caused by a mutation on the X chromosome. Management of bleeding disorders during orthognathic surgery cases has only been reported 2 other times in the oral and maxillofacial surgery literature. This report describes a patient with a factor VIII deficiency who underwent bilateral sagittal split osteotomies, a genial advancement, and extraction of teeth and the management of this patient from a hematologic standpoint.
Abramowicz
Shelly
S
Department of Oral and Maxillofacial Surgery, University of Florida, Gainesville, Florida 32610, USA. shellya@ufl.edu
Staba
Susan L
SL
Dolwick
M Franklin
MF
Chen
David R
DR
D000293:Adolescent; D005260:Female; D006467:Hemophilia A / Q000150:complications* / Q000188:drug therapy; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008310:Malocclusion / Q000601:surgery*; D008964:Molar, Third / Q000601:surgery*; D056948:Orthognathic Surgical Procedures; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D014081:Tooth Extraction / Q000379:methods; D016896:Treatment Outcome