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dc.rights.licenseopenen_US
dc.contributor.authorFRIBOURG, Emma
dc.contributor.authorCASTET, Sabine
dc.contributor.authorFENELON, Mathilde
dc.contributor.authorHUGUENIN, Yoann
dc.contributor.authorFRICAIN, Jean-Christophe
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHUY, Virginie
IDREF: 234159758
dc.contributor.authorCATROS, Sylvain
dc.date.accessioned2024-10-11T09:11:10Z
dc.date.available2024-10-11T09:11:10Z
dc.date.issued2024-07-01
dc.identifier.issn1365-2516en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/202423
dc.description.abstractEnINTRODUCTION: The objectives were to describe the peri-operative management of people with inherited bleeding disorders in oral surgery and to investigate the association between type of surgery and risk of developing bleeding complications. MATERIALS AND METHODS: This retrospective observational study included patients with haemophilia A or B, von Willebrand disease, Glanzmann thrombasthenia or isolated coagulation factor deficiency such as afibrinogenemia who underwent osseous (third molar extraction, ortho-surgical traction, dental implant placement) or nonosseous oral surgery between 2014 and 2021 at Bordeaux University Hospital (France). Patients and oral surgery characteristics were retrieved from medical records. Odds ratio (OR) and 95% confidence interval (CI) were estimated using logistic regression. RESULTS: Of the 83 patients included, general anaesthesia was performed in 16%. Twelve had a bleeding complication (14.5%) including six after osseous surgery. The most serious complication was the appearance of anti-FVIII inhibitor in a patient with moderate haemophilia A. All bleeding complications were managed by a local treatment and factor injections where indicated. No association was observed between type of surgery (osseous vs. nonosseous) and risk of bleeding complications after controlling for sex, age, disease type and severity, multiple extractions, type of anaesthesia and use of fibrin glue (OR: 3.21, 95% CI: .69-14.88). CONCLUSION: In this study, we have observed that bleeding complications after oral surgery in people with inherited bleeding disorders were moderately frequent and easily managed. However, in this study, we observed a serious complication highlighting the necessity of a thorough benefit-risk balance evaluation during the preoperative planning of the surgical and medical protocol.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subject.enDental Extraction
dc.subject.enDental Implant
dc.subject.enHaemophilia
dc.subject.enOral Surgery
dc.subject.enVon Willebrand Disease
dc.title.enOral surgery in people with inherited bleeding disorder: A retrospective study
dc.title.alternativeHaemophiliaen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1111/hae.15055en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38825767en_US
bordeaux.journalHaemophiliaen_US
bordeaux.page943-949en_US
bordeaux.volume30en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamLEHA_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04731980
hal.version1
hal.date.transferred2024-10-11T09:11:12Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Haemophilia&rft.date=2024-07-01&rft.volume=30&rft.issue=4&rft.spage=943-949&rft.epage=943-949&rft.eissn=1365-2516&rft.issn=1365-2516&rft.au=FRIBOURG,%20Emma&CASTET,%20Sabine&FENELON,%20Mathilde&HUGUENIN,%20Yoann&FRICAIN,%20Jean-Christophe&rft.genre=article


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