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Intraoperative blood loss and blood transfusion requirements in patients undergoing orthognathic surgery

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Abstract

Procedures for the surgical correction of dentofacial deformities may produce important complications, whether due to the potential for vascular injury or to prolonged surgery, both of which may lead to severe blood loss. Fluid replacement with crystalloid, colloid, or even blood products may be required. The aim of this study was to assess blood loss and transfusion requirements in 45 patients (18 males and 27 females; mean age 29.29 years, range 16–52 years) undergoing orthognathic surgery, assigned to one of two groups according to procedure type—rapid maxillary expansion or double-jaw orthognathic surgery. Preoperative hemoglobin and hematocrit levels and intraoperative blood loss were measured. There was a substantial individual variation in pre- and postoperative hemoglobin values (10.3–17 and 8.8–15.4 g/dL, respectively; p < 0.05). Mean hematocrit values were 41.53 % preoperatively (range 31.3–50.0 %) and 36.56 % postoperatively (range 25–43.8 %) (p < 0.05). Mean blood loss was 274.60 mL (range 45–855 mL). Only two patients required blood transfusion. Although blood loss and transfusion requirements were minimal in the present study, surgical teams should monitor the duration of surgery and follow meticulous protocols to minimize the risks.

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Conflict of interest

None.

Ethical approval

The study protocol was approved by the Research Ethics Committee at Araçatuba Dental School, Universidade Estadual Paulista (UNESP) (protocol no. 2008–02413).

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Authors and Affiliations

  1. Department of Surgery and Integrated Clinic, Araçatuba Dental School, Universidade Estadual Paulista (UNESP), São Paulo, Brazil

    Leonardo Perez Faverani, Gabriel Ramalho-Ferreira & André Luis Silva Fabris

  2. Araçatuba Dental School, Universidade Estadual Paulista (UNESP), São Paulo, Brazil

    Tárik Ocon Braga Polo, Guilherme Henrique Souza Poli, Wirley Gonçalves Assunção & Idelmo Rangel Garcia-Júnior

  3. Department of Oral and Maxillofacial Surgery, Bauru Hospital Association, Bauru, São Paulo, Brazil

    Cláudio Maldonado Pastori & Clóvis Marzola

  4. Rua Afonso Pena, 2000 Edifício Aguillera Bloco 4 Ap. 12, Jardim Paulista, 16011-195, Araçatuba, São Paulo, Brazil

    Leonardo Perez Faverani

Authors
  1. Leonardo Perez Faverani
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  2. Gabriel Ramalho-Ferreira
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  3. André Luis Silva Fabris
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  4. Tárik Ocon Braga Polo
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  5. Guilherme Henrique Souza Poli
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  6. Cláudio Maldonado Pastori
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  7. Clóvis Marzola
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  8. Wirley Gonçalves Assunção
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  9. Idelmo Rangel Garcia-Júnior
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Correspondence to Leonardo Perez Faverani.

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Faverani, L.P., Ramalho-Ferreira, G., Fabris, A.L.S. et al. Intraoperative blood loss and blood transfusion requirements in patients undergoing orthognathic surgery. Oral Maxillofac Surg 18, 305–310 (2014). https://doi.org/10.1007/s10006-013-0415-4

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  • DOI: https://doi.org/10.1007/s10006-013-0415-4

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