Document Detail


Microsurgical Reconstruction of the Mandible in a Patient with Evans Syndrome: A Case Report and Review of the Literature.
MedLine Citation:
PMID:  23804021     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
In this report, we describe the first successful case of microvascular free tissue transfer in a patient with Evans Syndrome (ES), a rare form of idiopathic thrombocytopenic purpura (ITP) and associated autoimmune hemolytic anemia (AIHA). Microvascular surgery in the setting of ES is likely to have higher complication rates because of the increased risk of postoperative bleeding and free flap thrombosis. The case presented here opens up to the feasibility of microvascular reconstruction of patients with coagulation disorders like ES. Every effort should be made to control for hemolytic, thrombocytopenic, and thrombophilic states associated with ES. In the absence of evidence-based treatment guidelines for ES, personalized treatment protocols with high-dose corticosteroids, immunoglobulin, and postoperative anticoagulation regimen are highly recommended.
Authors:
Alberto Bedogni; Alexandre Anesi; Andrea Fior; Giordana Bettini; Pier Francesco Nocini
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-6-26
Journal Detail:
Title:  Journal of reconstructive microsurgery     Volume:  -     ISSN:  1098-8947     ISO Abbreviation:  J Reconstr Microsurg     Publication Date:  2013 Jun 
Date Detail:
Created Date:  2013-6-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8502670     Medline TA:  J Reconstr Microsurg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Affiliation:
Unit of Oral and Maxillofacial Surgery, Department of Surgery, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
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