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KMID : 0980320150150010025
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Journal of Dental Anesthesia and Pain Medicine
2015 Volume.15 No. 1 p.25 ~ p.29
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Factor XI deficiency and orthognathic surgery: a case report on anesthesia management
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Lee Soo-Eon
Choi Yoon-Ji
Chi Seong-In
Kim Hyun-Jeong
Seo Kwang-Suk
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Abstract
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Factor XI deficiency (Hemophilia C) is a very rare autosomal recessive bleeding disorder. Patients with factor XI deficiency do not typically show any spontaneous bleeding or specific symptoms. Sometimes those who have this disorder are identified during special situations such as trauma or surgery. Orthognathic surgery is particularly associated with a high bleeding risk. Therefore, great care must be taken when treating patients with bleeding disorders such as factor XI deficiency. There are a few reports that address the management of patients with bleeding disorders during orthognathic surgery. The current report describes a patient with factor XI deficiency who underwent Le Fort I osteotomy together with bilateral sagittal split osteotomy. The patient’s condition was assessed using both rotation thromboelastometry (ROTEMTM) and noninvasive measurements of total hemoglobin (SpHb) using Masimo Radical 7 (Masimo Co. CA, USA).
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KEYWORD
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Continuous noninvasive hemoglobin monitoring, Factor XI deficiency, Orthognathic surgery, Rotation thromboelastometry
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