日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
臨床報告
本態性血小板血症患者に対する下顎骨関節突起骨折の治療経験
大谷津 幸生神部 芳則杉浦 康史田村 知子齋藤 健太郎野口 忠秀森 良之
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ジャーナル フリー

2021 年 35 巻 1 号 p. 50-54

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Essential thrombocythemia (ET) is a myeloproliferative neoplasm characterized by an increase in platelets owing to abnormalities in bone marrow hematopoietic stem cells. There is a risk of thrombosis and bleeding in perioperative management. We report a case of performing surgery for condylar fracture accompanied by ET. A female in her 40s was injured by being struck on her right cheek. The clinical diagnosis from imaging examinations was right condylar base fracture. Open reduction and internal fixation was the treatment plan. She had been treated with hydroxycarbamide and aspirin since a diagnosis of ET in the past. The platelet count was stable at 100×104/μL or less. She discontinued aspirin one week before surgery and underwent ORIF using a high perimandibular approach. She recovered well after surgery and had no perioperative complications.
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