Abstract:

Hemophilia A is a hereditary hemorrhagic disorder characterized by a lack of factor VIII or functional disorder, which is coagulation protein. This deficiency leads to prolonged bleeding and delayed wound healing after injury, tooth drawing and surgery. In this report; in patients diagnosed with hemophilia A, repeated submandibular apse and treatment are offered despite medical treatments. Our case; a 23-year-old man was sick and appeared to our clinic with a complaint of swelling and pain developing on his right side of the face and neck. In the received anamnesis it was learned that the patient was first addressed to the ear nasal throat clinic, here after his treatment he was directed to us on the repeated complaints. In the clinical and radiographic examination, the apson was found to be derived from the right under twenty-year-old tooth, and the shooting of the tooth was found appropriate. The patient was consulted with a hematologist before the treatment, the patient was given an antibiotic, pain reliever and muscle reliever therapy for 3 days until the treatment day, and the mouth openness was increased. On the day of the procedure, the patient was charged with factor VIII by the hematologist and the 20-year-old female was pulled and the wound site was closed. In postoperative tests, the wound was healed without any problem related to bleeding or healing. As a result, hemophilia A is a major systemic disease that can be life-threatening. In patients with this diagnosis, surgical procedures should be performed by ensuring adequate blood values in appropriate sterile conditions under the control of the hematologist.

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