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Orthognathic surgery in a patient with hemophilia A: report of a case
Shelly Abramowicz1, Susan L Staba, M Franklin Dolwick
1Department of Oral and Maxillofacial Surgery, University of Florida, Gainesville, Florida 32610, USA. shellya@ufl.edu
Abstract:
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.
