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Venous Thromboembolism Prophylaxis in Maxillofacial Surgery.
Inês Camelo1, Flávia Pereira1, Mariana Cebotari1
1Maxillofacial Surgery Department, Centro Hospitalar Universitário de São João, Porto, PRT.
Cureus
|October 25, 2024
Summary
Patients undergoing maxillofacial surgery generally have a low risk of venous thromboembolism (VTE). Prophylaxis should be individualized, with pharmacological options considered for high-risk patients (Caprini score ≥7).
Area of Science:
- Oral and Maxillofacial Surgery
- Vascular Surgery
- Anesthesiology
Background:
- Venous thromboembolism (VTE) is a significant concern in surgical patients.
- Maxillofacial surgery patients represent a unique demographic with potentially varying VTE risks.
- Current guidelines for VTE prophylaxis may not be fully established for this specific surgical population.
Purpose of the Study:
- To review the existing literature on the necessity of VTE prophylaxis in maxillofacial surgery.
- To explore VTE diagnosis, risk stratification, and appropriate prophylactic measures for these patients.
Main Methods:
- A literature search was conducted to identify relevant studies.
- Nine articles were selected based on their pertinence to VTE prophylaxis in maxillofacial surgery.
- Data regarding VTE risk, diagnosis, and prevention were synthesized.
Main Results:
- Evidence suggests that patients undergoing maxillofacial surgery generally present a low risk of VTE.
- Individualized risk assessment is crucial for determining the need for prophylaxis.
- Pharmacological prophylaxis may be beneficial for patients with a high-risk score (Caprini score ≥7).
Conclusions:
- While VTE risk in maxillofacial surgery appears low, tailored prophylactic strategies are important.
- Further research is required to refine and optimize VTE prevention protocols for this patient group.
- Personalized risk assessment, including the Caprini score, should guide prophylactic decisions.
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