Platelet Abnormalities in the Oral Maxillofacial Surgery Patient.
Platelet abnormalities result from a wide range of congenital and acquired conditions, which may be known or unknown to patients presenting for oral maxillofacial surgery. It is critical to obtain a thorough history, including discussion of any episodes of bleeding or easy bruising, to potentially discern patients with an underlying platelet disorder. If patients indicate a positive history, preoperative laboratory studies are indicated, with potential referral or consultation with a hematologist. Appropriate preoperative planning may reduce the risk of bleeding associated with platelet dysfunction, potentially avoiding serious perioperative and postoperative complications.
Indiana University, Indianapolis, IN, USA.
Ehlie K
EK
Bruno
Division of Oral and Maxillofacial Surgery, Roudebush VA Medical Center, Indianapolis, IN, USA. Electronic address: jb2omfs@gmail.com.
Jeffrey D
JD
Bennett
D001778:Blood Coagulation Disorders / Q000175:diagnosis*; D001792:Blood Platelets / Q000473:pathology*; D006801:Humans; D008487:Medical History Taking; D019647:Oral Surgical Procedures; D011183:Postoperative Complications / Q000517:prevention & control; D011300:Preoperative Care
Acquired thrombocytopenias; Congenital thrombocytopenias; Drug-induced thrombocytopenias; Immune-mediated thrombocytopenias; Platelets; Thrombocytosis