قلع الأسنان في حالات نقص العامل الحادي عشر — بما في ذلك الحالات الشديدة

References

• Some procedures, particularly dental extractions, can be managed without the use of blood products even in patients with severe deficiency.
• Studies have demonstrated that antifibrinolytic drugs alone are sufficient to cover dental extractions in patients with severe FXI deficiency.
• Nineteen patients with FXI levels of less than 14 U/dL were given oral tranexamic acid starting 12 hours before surgery and continuing for 7 days afterwards.
• A group from Israel has published data on the successful use of fibrin glue in 80 patients with congenital bleeding disorders undergoing 135 dental extractions without blood product replacement; seventeen extractions were performed in 13 patients with FXI deficiency.
• The glue (Beriplast®, Centeon) is applied through a pair of syringes, one containing calcium and thrombin, the other containing fibrinogen, FXIII, and aprotinin.