Abstract
Surgery for hemophiliacs needs to be supplemented with coagulation factors perioperatively. We report bilateral tonsillectomy and lingual tonsillectomy in a patient with sleep apnea syndrome who had been diagnosed with hemophilia. The case was a 52-year-old man. He had apnea for 20 years and was diagnosed with severe sleep apnea syndrome by a previous doctor. Swelling of the palatine tonsils and lingual tonsils was noted. He strongly requested surgical treatment and was referred to our department. In addition to hemophilia B, he was given an antiplatelet drug, so we repeatedly recommended conservative therapy. However, surgery was performed based on his strong hope. During the perioperative period, a factor Ⅸ preparation was administered. Tracheotomy was also performed in preparation for airway problems. Bleeding was observed temporarily after the operation, but hemostasis was obtained by increasing the dose of Factor Ⅸ preparation. Postoperative subjective symptoms disappeared and PSG also improved.
