Contenção de Hemorragia em Paciente Diabético com o Uso de Dispositivo Interoclusal e Agente Antifibrinolítico.

Abstract

Objective: to describe the case of a 59-year-old patient with diabetes mellitus who presented to a tertiary care center with intermittent bleeding in the palatine region and was treated by the oral and maxillofacial surgery and traumatology team. The patient was undergoing irregular diabetes treatment and had a history of amputations at the expense of diabetes. Case Report: Intraoral physical examination revealed arterial bleeding in the right palatine region, near the ipsilateral molar region. Local sutures were performed with tranexamic acid in the surgical center, followed by local cauterization with an electric scalpel on two surgical occasions, but without success. An interocclusal splint was proposed to contain the antifibrinolytic gauze and mechanically compress the wound, which was successful and resulted in resolution of the case. The patient was advised to maintain local care and a cold, soft diet. He did not return to the outpatient clinic after hospital discharge. Conclusion: There is a clear need for alternative, unconventional techniques to resolve serious conditions such as intraoral bleeding in systemically compromised patients. Nothing will overcome the need for patient care; refusal to use the splint could have led to a negative response to the condition's resolution. Keywords: Wounds and Injuries; Oral Hemorrhage; Diabetes Mellitus