Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
3159782 | Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology | 2015 | 4 Pages |
Abstract
Bernard-Soulier syndrome is characterized by thrombocytopenia, giant platelets, and severe bleeding; although bleeding varies widely, it is usually evident from childhood and requires particular attention during surgeries. We extracted a fractured tooth and performed hemostasis management in a male patient with a Bernard-Soulier syndrome-related severe bleeding tendency after intracerebral hemorrhage. The preoperative platelet count was abnormally low (7Â ÃÂ 109/L). Normal coagulability was observed. After intravenous hydrocortisone administration, he received 10 human leukocyte antigen-matched platelet units. The extraction sites were packed with gelatine sponges and a splint was used for hemostasis. Excellent hemostasis was achieved with minimal human leukocyte antigen-matched platelets.
Keywords
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Dentistry, Oral Surgery and Medicine
Authors
Sayaka Mishima, Kazumasa Nakao, Masayuki Ikeno, Kazuhisa Bessho,