Risks of Oral and Maxillofacial Surgery in Patients with Thyroid Dysfunction: Proper Management Strategies

Bernardo Correia Lima; Ricardo Grillo; Bruno Alvarez Quinta Reis; Leonardo Augustus Peral Ferreira Pinto; Fernando Melhem-Elias

doi:10.58600/eurjther2123

Authors

Bernardo Correia Lima Department of Oral Diagnosis, Dental Radiology and Imaginology, Dental School of University of São Paulo, São Paulo – SP, Brazil. https://orcid.org/0000-0003-4784-3120
Ricardo Grillo Departament of Oral and Maxillofacial Surgery, Faculdade Patos de Minas, Brasília - DF, Brazil. https://orcid.org/0000-0002-8096-738X
Bruno Alvarez Quinta Reis Private Practice in Oral and Maxillofacial Surgery, São Paulo - SP, Brazil. https://orcid.org/0000-0002-0554-8505
Leonardo Augustus Peral Ferreira Pinto Oral and Maxillofacial Surgery Service, Clementino Fraga Filho University Hospital, Federal University of Rio de Janeiro - RJ, Brazil https://orcid.org/0000-0002-2994-0288
Fernando Melhem-Elias Department of Oral and Maxillofacial Surgery, Traumatology and Prosthesis, Dental School of University of São Paulo, São Paulo - SP, Brazil. https://orcid.org/0000-0003-0861-9919

DOI:

https://doi.org/10.58600/eurjther2123

Keywords:

Oral and maxillofacial surgery, thyroid dysfunction, hyperthyroidism, hypothyroidism, coagulation system

Abstract

Oral and maxillofacial surgery encompasses procedures for correcting mouth, jaw, and facial issues, posing challenges in patients with thyroid dysfunction due to its impact on the coagulation system. Many authors noted a rise in thyroid disease among younger adults, affecting surgeries traditionally performed in this demographic. Thyroid dysfunction alters hemostasis, with hyperthyroidism increasing thromboembolic risks and hypothyroidism impairing wound healing and causing bleeding tendencies. In OMF surgery, hyperthyroid patients face thromboembolic risks, requiring preoperative assessment, thyroid normalization, and anticoagulant prophylaxis. Hypothyroid patients need optimized hormone therapy, careful hemostasis, and postoperative monitoring. Multidisciplinary collaboration among endocrinologists, surgeons, and hematologists is crucial for tailored management strategies. In conclusion, understanding thyroid dysfunction's hemostatic impact is vital for safe OMF surgery, necessitating personalized perioperative care strategies.

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