Epistaxis in dental and maxillofacial practice: a comprehensive review
Psillas George, Dimas Grigorios Georgios, Papaioannou Despoina, Savopoulos Christos, Constantinidis Jiannis,
소속 상세정보
( Psillas George ) - Aristotle University of Thessaloniki AHEPA Hospital 1st Academic ENT Department
( Dimas Grigorios Georgios ) - Aristotle University of Thessaloniki AHEPA Hospital 1st Propedeutic Department of Internal Medicine
( Papaioannou Despoina ) - Aristotle University of Thessaloniki School of Dentistry
( Savopoulos Christos ) - Aristotle University of Thessaloniki AHEPA Hospital 1st Propedeutic Department of Internal Medicine
( Constantinidis Jiannis ) - Aristotle University of Thessaloniki AHEPA Hospital 1st Academic ENT Department
Abstract
The lifetime incidence of epistaxis in dental and maxillofacial practice has been reported to be as high as 60% and can be caused by dental implant placement, Le Fort I osteotomy, intranasal supernumerary tooth, odontogenic tumors, blood disorders and maxillofacial trauma. Most epistaxis cases are minor and easily managed with direct compression on the nares for 10 minutes. For more significant or recurrent epistaxis, other techniques might include electrocautery, anterior or posterior nasal packing, or Foley catheter balloon. For patients with refractory epistaxis, cauterization of the sphe-nopalatine artery under endonasal endoscopy or embolization of the internal maxillary artery should be performed. Epistaxis control is required in pa-tients diagnosed with inherited or acquired bleeding disorders or with drug-induced coagulopathies during dental procedures. In these cases, hemostatic system adjustment and hemostasis achieved by local and adjunctive methods are required. Dentists and maxillofacial surgeons must be aware that the nasal cavity is a potential source of perioperative hemorrhage. Depending on the invasiveness of the dental intervention, preoperative involvement of the hematologist and cardiologist is usually necessary to reverse anticoagulation or to cease anticoagulant therapy.
키워드
Orthognathic surgery; Dental implants; Epistaxis; Maxilla; Blood coagulation
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