Abstract
Most patients who require orthognathic surgery are young patients of American Society
of Anesthesiologists’ (ASA) grade I, and current publications recommend a policy of
group and save, with antibody screening for all such patients. We retrospectively
studied 284 patients who had orthognathic procedures over a 5-year period at one hospital.
We identified patients with a history of bleeding disorders, and those with abnormal
coagulation. No blood transfusions were required for any patient, and abnormal coagulation
screens in patients with no history of bleeding disorders made no difference to perioperative
medical or surgical management. We therefore recommend that grouping and saving blood
with antibody or coagulation screening are not necessary before orthognathic operations
in ASA grade I patients who have no history of bleeding disorders or previous blood
transfusion. However, a routine full blood count should still be done, in keeping
with the current National Institute for Clinical Excellence (NICE) guidelines.
Keywords
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Article info
Publication history
Published online: January 03, 2012
Accepted:
November 21,
2011
Identification
Copyright
© 2011 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
