Risks of Oral and Maxillofacial Surgery in Patients with Thyroid Dysfunction: Proper Management Strategies

被引:0
作者
Lima, Bernardo Correia [1 ,2 ,6 ]
Grillo, Ricardo [4 ]
Reis, Bruno Alvarez Quinta [4 ]
Pinto, Leonardo Augustus Peral Ferreira [5 ]
Melhem-Elias, Fernando [3 ]
机构
[1] Univ Sao Paulo, Dent Sch, Dept Oral Diag Dent Radiol & Imaginol, Sao Paulo, SP, Brazil
[2] Hosp Boca, Santa Casa Misericordia Rio de Janeiro, Dept Oral Surg & Diag, Rio De Janeiro, RJ, Brazil
[3] Univ Sao Paulo, Dent Sch, Dept Oral & Maxillofacial Surg Traumatol & Prosthe, Sao Paulo, SP, Brazil
[4] Fac Patos Minas, Dept Oral & Maxillofacial Surg, Brasilia, DF, Brazil
[5] Univ Fed Rio de Janeiro, Clementino Fraga Filho Univ Hosp, Oral & Maxillofacial Surg Serv, Rio de Janeiro, RJ, Brazil
[6] Univ Sao Paulo, Dent Sch, Av Prof Lineu Prestes 2227,Cidade Univ, BR-05508000 Sao Paulo, SP, Brazil
来源
EUROPEAN JOURNAL OF THERAPEUTICS | 2024年 / 30卷 / 04期
关键词
Oral and maxillofacial surgery; thyroid dysfunction; hyperthyroidism; hypothyroidism; coagulation system;
D O I
10.58600/eurjther2123
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Oral and maxillofacial surgery encompasses procedures for correcting mouth, jaw, and facial issues, posing challenges in patients with thyroid dysfunction due to its impact on the coagulation system. Many authors noted a rise in thyroid disease among younger adults, affecting surgeries traditionally performed in this demographic. Thyroid dysfunction alters hemostasis, with hyperthyroidism increasing thromboembolic risks and hypothyroidism impairing wound healing and causing bleeding tendencies. In OMF surgery, hyperthyroid patients face thromboembolic risks, requiring preoperative assessment, thyroid normalization, and anticoagulant prophylaxis. Hypothyroid patients need optimized hormone therapy, careful hemostasis, and postoperative monitoring. Multidisciplinary collaboration among endocrinologists, surgeons, and hematologists is crucial for tailored management strategies. In conclusion, understanding thyroid dysfunction's hemostatic impact is vital for safe OMF surgery, necessitating personalized perioperative care strategies.
引用
收藏
页码:559 / 561
页数:3
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