Management of two major postoperative bleeding complications after mandible reconstruction with fibula free flap in a patient under chronic warfarin treatment.

Case Reports Plast Surg Hand Surg

Department of Oral Maxillofacial Surgery and Pathology, School of Dentistry, University of Mississippi Medical Center, Jackson, MS, USA.

Published: December 2019

We present a case of two separated life-threatening postoperative bleeding complications after mandible cancer resection and microsurgical fibula flap in a patient under permanent warfarin treatment. We used fresh frozen plasma, prothrombin complex concentrate to control bleedings. We consider to maintain similar patients in heparin/enoxaparin bridging for 1-2 weeks.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968665PMC
http://dx.doi.org/10.1080/23320885.2019.1699416DOI Listing

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