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Biomedical subjects

T F Mulkey

Publications and source records attributed to T F Mulkey.

6 recordsLinked to original sources

Hemophilic pseudotumors of the mandible.

Three patients with hemophilic pseudotumors of the mandible were described and the treatment of the lesions was discussed. Surgical intervention, accompanied by adequate clotting factor replacement, was used in all three cases with satisfactory results. Pseudotumors of the jaws are a rare but serious complication of hemophilia. The cause of the mandibular lesion can be intraosseous hemorrhage, soft tissue hemorrhage with periosteal stripping and subperiosteal hematoma formation, or a combination of these factors. Surgical management with adequate replacement of clotting factor and the use of EACA is an effective method of treatment.

Adolescent↗

Outpatient treatment of hemophiliacs for dental extractions.

The outpatient treatment program for dental extraction in persons with the various forms of hemophilia has been reported. This program was initiated at the Hemophilia Rehabilitation Center at Orthopaedic Hospital in Los Angeles in 1966. During the nine years of this program, 260 patients have had 642 teeth extracted. eighty percent of these patients were outpatients and 64% of the extractions were performed on an outpatient basis. This outpatient treatment has been accompanied by an absence of a significant number of complications as evidenced by the postextraction hospitalization of only five patients during the nine-year period. The surgical technique uses a local anesthetic containing a vasoconstrictor or an ultralight intravenous general anesthetic in addition to the local anesthetic for the apprehensive or acutely infected patient. EACA is used as an antifibrinolytic agent postsurgically. Patient education and cooperation, diet control, and daily contact are important factors for the success of an outpatient oral surgery program for hemophilic patients.

Aminocaproates↗