An anesthetic management of head and neck cancer reconstructive surgery in a patient having hemophilia A: a case report
유승화, 권도현, 이종호, 서광석, 김현정, 감명환,
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유승화 ( Ryoo Seung-Hwa ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
권도현 ( Kwon Do-Hyun ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
이종호 ( Lee Jong-Ho ) - Seoul National University School of Dentistry Department of Oral and Maxillofacial Surgery
서광석 ( Seo Kwang-Suk ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
김현정 ( Kim Hyun-Jeong ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
감명환 ( Karm Myong-Hwan ) - Seoul National University School of Dentistry Department of Dental Anesthesiology
Abstract
Hemophilia A is a hemorrhagic disease caused by coagulation factor VIII deficiency. In head and neck cancer surgery, especially during a reconstructive one, complications can occur. These include hematomas due to bleeding which can then lead to flap ischemia, necrosis, and impaired wound healing. There are fewer cases of reconstructive surgery in patients with hemophilia A. Here in we report, a reconstructive surgery that involved mass resection, partial glossectomy (right), selective neck dissection (right, Levels I, II, III, IV), and reconstruction at the lateral arm free flap (left) in a 25-year-old man with hemophilia A. The surgery was successfully performed without any complications after pretreatment with Factor VIII concentrate, which has not been reported earlier.
키워드
Factor VIII; Hemophilia A; Reconstructive Surgical Procedures; Squamous Cell Carcinoma of Head and Neck
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