Abstract
Idiopathic thrombocytopenia purpura (ITP) is caused by production of autoantibodies against the platelet. Therefore, hemostatic control is considerably important in oral surgical treatments or any surgery involving ITP patients.
We herein report a case of hemangioma of the cheek in a 72-year-old female patient with ITP. The preoperative laboratory data revealed a low platelet count of 29, 000/μl. She received a preoperative high-dose γ-globulin therapy (400 mg/kg/day) for 4 days. On the day of surgery, her platelet count had increased to 81, 000/μl. After surgery, abnormal bleeding did not occur and the postoperative course was uneventful. We are able to conclude that surgery could be performed safely and successfully for patients with ITP as demonstrated by this case.
For oral surgical treatment of patients with ITP, high-dose γ-globulin therapy has demonstrated its usefulness in increasing the platelet count immediately prior to surgery.
