Dental Service Department, Barretos Cancer Hospital, Barretos, São Paulo, Brazil.
Bauru School of Dentistry, Department of Surgery, Stomatology, Pathology and Radiology, University of Sao Paulo, Bauru, São Paulo, Brazil.
Spec Care Dentist. 2022 May;42(3):281-285. doi: 10.1111/scd.12680. Epub 2021 Dec 8.
Bernard-Soulier syndrome (BSS) is an inherited bleeding disorder characterized by macroplatelets and thrombocytopenia, prolonged bleeding time, and a prevalence of less than 1 in 1,000,000. In view of the recognition of the risk of bleeding and the management of daily surgical practice in these patients, adequate strategies are necessary to provide the safest care. This article aims to perform an integrative review of the literature on the management of invasive procedures in the oral cavity of individuals with BSS.
The PubMed/Medline and LILACS databases were searched using Boolean operators related to BSS, bleeding disorders, and oral care.
As a result, only five articles with the main theme were included: one letter to the editor and four case reports, described chronologically as to date of publication, classification of the article, and medical/odontological measures taken.
We conclude with this review the need for adequate knowledge of surgeons regarding coagulation disorders and the need to discuss and plan procedures with the hematology team, as well as the importance of the notion of management of possible complications resulting from invasive treatments in the oral cavity of patients with BSS.
伯纳德-苏利耶综合征(BSS)是一种遗传性出血性疾病,其特征为大血小板和血小板减少症、出血时间延长,患病率低于百万分之一。鉴于这些患者出血风险的认识以及日常手术实践的管理,需要采取足够的策略来提供最安全的护理。本文旨在对 BSS 患者口腔侵袭性操作管理的文献进行综合回顾。
使用与 BSS、出血性疾病和口腔护理相关的布尔运算符在 PubMed/Medline 和 LILACS 数据库中进行检索。
仅纳入了 5 篇主要主题为 BSS 的文章:一封给编辑的信和 4 篇病例报告,按出版日期、文章分类和采取的医学/牙科措施进行了时间顺序描述。
通过本次综述,我们得出结论,外科医生需要充分了解凝血障碍,需要与血液科团队讨论和计划手术,以及需要注意管理 BSS 患者口腔侵袭性治疗可能产生的并发症的概念。