PMID- 25579005 OWN - NLM STAT- MEDLINE DCOM- 20150329 LR - 20150112 IS - 1531-5053 (Electronic) IS - 0278-2391 (Linking) VI - 73 IP - 2 DP - 2015 Feb TI - Management of tooth extraction in a patient with a rare bleeding disorder associated with Hermansky-Pudlak syndrome: a case report. PG - 219-23 LID - S0278-2391(14)01409-8 [pii] LID - 10.1016/j.joms.2014.08.037 [doi] AB - PURPOSE: This report describes the case of a 27-year-old man who had been diagnosed with Hermansky-Pudlak syndrome shortly after birth. Because the patient had a major bleeding disorder associated with his syndrome, local and systemic hemostatic protection recommendations had to be considered before tooth extraction. MATERIALS AND METHODS: Synthetic vasopressin (1-deamino-8-d-arginine vasopressin [DDAVP]) was transfused intravenously before surgery. During surgery the patient was transfused with 1 U of human leukocyte antigen (HLA)-matched apheresis platelets. A hemostatic packing of Avitene and Gelfoam was adapted to the extraction site. RESULTS: Treatment with DDAVP, HLA-matched platelets, and local application of a packing with Avitene and Gelfoam resulted in sustained hemostasis and an excellent healing response. CONCLUSION: Surgical and routine extractions appear to be safe procedures in patients with Hermansky-Pudlak syndrome when appropriate local and systemic hemostatic measures are used. CI - Copyright (c) 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. FAU - Minkin, Patton AU - Minkin P AD - Resident, Department of Oral and Maxillofacial Surgery, Mt Sinai-St Luke's/Mt Sinai-Roosevelt Hospitals, New York, NY. Electronic address: pminkin@chpnet.org. FAU - Bertetti, Richard AU - Bertetti R AD - Chief Resident, Department of Oral and Maxillofacial Surgery, Mt Sinai-St Luke's/Mt Sinai-Roosevelt Hospitals, New York, NY. FAU - Lindsey, Sean AU - Lindsey S AD - Junior Resident, Department of Oral and Maxillofacial Surgery, Mt Sinai-St Luke's/Mt Sinai-Roosevelt Hospitals, New York, NY. FAU - Bovino, Brian AU - Bovino B AD - Residency Program Director, Department of Oral and Maxillofacial Surgery, Mt Sinai-St Luke's/Mt Sinai-Roosevelt Hospitals, New York, NY. LA - eng PT - Case Reports PT - Journal Article DEP - 20140916 PL - United States TA - J Oral Maxillofac Surg JT - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons JID - 8206428 SB - IM MH - Adult MH - Blood Coagulation Disorders/*physiopathology MH - Hermanski-Pudlak Syndrome/*physiopathology MH - Humans MH - Male MH - *Tooth Extraction EDAT- 2015/01/13 06:00 MHDA- 2015/03/31 06:00 CRDT- 2015/01/13 06:00 PHST- 2014/04/28 00:00 [received] PHST- 2014/08/23 00:00 [revised] PHST- 2014/08/30 00:00 [accepted] PHST- 2015/01/13 06:00 [entrez] PHST- 2015/01/13 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - S0278-2391(14)01409-8 [pii] AID - 10.1016/j.joms.2014.08.037 [doi] PST - ppublish SO - J Oral Maxillofac Surg. 2015 Feb;73(2):219-23. doi: 10.1016/j.joms.2014.08.037. Epub 2014 Sep 16.