Journal of the Korean Association of Oral and Maxillofacial Surgeons
- Volume 27 Issue 5
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- Pages.464-467
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- 2001
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- 2234-7550(pISSN)
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- 2234-5930(eISSN)
THE MANAGEMENT OF PATIENTS WITH SEVERE APLASTIC ANEMIA IN ORAL & MAXILLOFACIAL SURGERY
중증 재생불량성 빈혈환자의 구강악안면외과적 관리
- Yoon, Hyun-Joong (Div. of Oral & Maxillofacial Surgery, Department of dentistry, College of Medicine, The Catholic University of Korea) ;
- Park, Je-Uk (Div. of Oral & Maxillofacial Surgery, Department of dentistry, College of Medicine, The Catholic University of Korea)
- Published : 2001.10.30
Abstract
Aplastic anemia is a hematopoietic disorder characterized by marked reduction or absence of erythoid, granulocytic, and megakariocytic cells in the bone marrow with resultant pancytopenia. To control of infection & bleeding secondary to leukopenia and thrombocytopenia, the inflammatory lesions in oral & maxillofacial area should be removed. Material & Method: The extractions were performed on 21 patients with severe aplastic anemia. The initial, pre-operative and postoperative CBCs were checked up. Amount and kind of transfused platelet in each patient and increment of platelet level were recorded. The complications were documented. Result : A mean of 2.9 teeth were extracted from each patient(ranging between 1 and 13). Furthermore, surgical extractions including ostectomy and odontectomy of the third molar were performed on 11 patients. The preoperative WBC levels presented between