An anesthetic management of head and neck cancer reconstructive surgery in a patient having hemophilia A: a case report
| Autor: | Do-Hyun Kwon, Seung-Hwa Ryoo, Jong-Ho Lee, Kwang-Suk Seo, Myong-Hwan Karm, Hyun Jeong Kim |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Reconstructive surgery
medicine.medical_specialty Factor VIII business.industry Squamous Cell Carcinoma of Head and Neck Head and neck cancer Partial glossectomy Anesthetic management Case Report 030206 dentistry Free flap medicine.disease Hemophilia A Selective neck dissection Surgery 03 medical and health sciences 0302 clinical medicine Coagulation 030202 anesthesiology hemic and lymphatic diseases medicine In patient Reconstructive Surgical Procedures business |
| Zdroj: | Journal of Dental Anesthesia and Pain Medicine |
| ISSN: | 2383-9317 2383-9309 |
| Popis: | Hemophilia A is a hemorrhagic disease caused by coagulation factor VIII deficiency. In head and neck cancer surgery, especially during a reconstructive one, complications can occur. These include hematomas due to bleeding which can then lead to flap ischemia, necrosis, and impaired wound healing. There are fewer cases of reconstructive surgery in patients with hemophilia A. Here in we report, a reconstructive surgery that involved mass resection, partial glossectomy (right), selective neck dissection (right, Levels I, II, III, IV), and reconstruction at the lateral arm free flap (left) in a 25-year-old man with hemophilia A. The surgery was successfully performed without any complications after pretreatment with Factor VIII concentrate, which has not been reported earlier. |
| Databáze: | OpenAIRE |
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