Abstract
In the contemporary surgical scenario, there is no consensus amongst practitioners regarding management of Odontogenic infection in Hemophilia patients and proper treatment is not administered often in fear of bleeding. We report successful management of a case of Severe Hemophilia A with buccal space infection based on protocol designed by Ansari MK, et al. for managing space infection in Hemophilia patient.
Highlights
Hemophilia is an X-linked recessive disorder caused by a deficiency in blood coagulation factors
Hemophilia A is characterized by a deficiency of factor VIII (FVIII), whereas hemophilia B is caused by a deficiency of factor IX (FIX)
Hemophilia can be classified into Mild (6% to 50% of normal factor VIII activity), Moderate (1% to 5% of Factor VIII activity) and Severe (< 1% of Factor VIII activity)
Summary
Hemophilia is an X-linked recessive disorder caused by a deficiency in blood coagulation factors. When treating patients with bleeding disorders such as hemophilia, the clinician must pay special attention to treatment planning and consultation with the patient’s hematologist as well his physician [3] These patients may require prophylactic factor VIII infusion prior to any surgical procedure, various adjustments to their treatment perioperative, and special precautions postoperatively. This paper reports successful management of a case with severe hemophilia A (factor VIII level 0.80%) along with buccal space infection associated with decayed mandibular third molar tooth. The patient was a known case of hemophilia A with history of multiple factor VIII transfusions for joint bleeds in lower extremities. The patient got slight relief in pain with the use of antibiotic and analgesic for 3 days with improvement in the mouth opening, but still the buccal space swelling was there. The patient was followed up for 1 month, and healing was satisfactory without any complications (Figure 4)
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