[Removal of a dermoid cyst of the floor of the mouth in a patient with severe hemophilia A]. / Udalenie dermoidnoi kisty dna rta u bol'nogo tyazheloi formoi gemofilii A.

The article presents a case of a surgical treatment of removing a dermoid cyst of the floor of the oral cavity in a patient with severe hemophilia A. A detailed analysis was carried out of the surgical operation, postoperative management, coagulation factor replacement therapy and accompanying therapy, as well as the features of anesthesia, which allowed a surgical intervention without any hemorrhagic and infectious complications.

[Features of performing surgical dental operations in patients with blood tumor diseases]. / Osobennosti provedeniya khirurgicheskikh stomatologicheskikh operatsii u bol'nykh s opukholevymi zabolevaniyami krovi.

OBJECTIVE: The aim of the study is the increasing the efficiency and improving the quality of dental surgical care for patients with tumor diseases of the blood system. MATERIAL AND METHODS: For the period from 2020 to 2022 The authors examined and treated 15 patients with tumor diseases of the blood system who were hospitalized at the National Medical Research Center for Hematology of the Ministry of Health of the Russian Federation. Of these, 11 provided dental surgical benefit. There were 5 men (33%), women - 10 (67%). The mean age of the patients was 52 years. A total of 12 surgical operations were performed: biopsies - 5; opening of the infiltrate - 3; imposition of secondary sutures - 1; bougienage of the salivary gland ducts - 1, removal of the salivary gland -1 and amputation of the tooth root - 1. Four patients underwent conservative treatment. RESULTS: The use of methods of local hemostasis made it possible to minimize the number of hemorrhagic complications. Thus, the development of external bleeding from the postoperative wound was observed in 1 (20%) (out of 5) patients in the group of acute leukemia. Hematoma was diagnosed in 2 patients. The sutures were removed on the 12th day. Finally, the wounds were epithelialized by an average of 17 days. CONCLUSION: The authors believe that the most common surgical intervention in patients with tumorous blood diseases is a biopsy, which should be performed with partial resection of the tissue surrounding the tumor. In the course of dental interventions, hematological patients may develop complications caused by suppression of immunity and fatal bleeding.

[Impacted teeth extraction in patients with hematological disorders]. / Osobennosti udaleniia retinirovannykh zubov u gematologicheskikh bol'nykh.

The operation of complex tooth extraction in patients with hemorrhagic syndrome is a difficult task. The authors developed a method of complex tooth extraction in their retention in patients with hemorrhagic syndrome. The study found that the proposed method allowed to reduce the risk of hemorrhagic complications and optimize the healing of post-extraction wounds. The procedure was carried-out in 11 patients with teeth retention and impaired eruption. The paper presents advantages and restrictions of the method.

[Incidence and mortality of dental diseases in patients with hematological disorders].

The study was conducted in 102 patients with hematological disorders admitted to the Research Center of Hematology. It was concluded that more than 50% of them needed oral surgery procedures requiring multidisciplinary approach.

[Radical maxillary sinusotomy in patient with severe haemophilia A].

Case presentation of radical maxillary sinusotomy in chronic sinusitis patient with severe haemophilia A, the paper contains detailed description of the surgical technique, postsurgical care, hemostatic and complementary treatment, as well as anesthesia options making this procedure safe in terms of hemorrhagic complications.