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Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review

Inferior alveolar nerve block (IANB) anesthesia is a common local anesthetic procedure. Although IANB anesthesia is known for its safety, complications can still occur. Today immediately or delayed occurring disorders following IANB anesthesia and their treatment are well-recognized. We present a ca...

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Autores principales: Wallner, Jürgen, Reinbacher, Knut Ernst, Pau, Mauro, Feichtinger, Matthias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073452/
https://www.ncbi.nlm.nih.gov/pubmed/24987612
http://dx.doi.org/10.4103/2231-0746.133090
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author Wallner, Jürgen
Reinbacher, Knut Ernst
Pau, Mauro
Feichtinger, Matthias
author_facet Wallner, Jürgen
Reinbacher, Knut Ernst
Pau, Mauro
Feichtinger, Matthias
author_sort Wallner, Jürgen
collection PubMed
description Inferior alveolar nerve block (IANB) anesthesia is a common local anesthetic procedure. Although IANB anesthesia is known for its safety, complications can still occur. Today immediately or delayed occurring disorders following IANB anesthesia and their treatment are well-recognized. We present a case of a patient who developed a symptomatic abscess in the pterygoid region as a result of several inferior alveolar nerve injections. Clinical symptoms included diffuse pain, reduced mouth opening and jaw's hypomobility and were persistent under a first step conservative treatment. Since image-based navigated interventions have gained in importance and are used for various procedures a navigated surgical intervention was initiated as a second step therapy. Thus precise, atraumatic surgical intervention was performed by an optical tracking system in a difficult anatomical region. A symptomatic abscess was treated by a computed tomography-based navigated surgical intervention at our department. Advantages and disadvantages of this treatment strategy are evaluated.
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spelling pubmed-40734522014-07-01 Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review Wallner, Jürgen Reinbacher, Knut Ernst Pau, Mauro Feichtinger, Matthias Ann Maxillofac Surg Case Reports - Infection/Trauma Inferior alveolar nerve block (IANB) anesthesia is a common local anesthetic procedure. Although IANB anesthesia is known for its safety, complications can still occur. Today immediately or delayed occurring disorders following IANB anesthesia and their treatment are well-recognized. We present a case of a patient who developed a symptomatic abscess in the pterygoid region as a result of several inferior alveolar nerve injections. Clinical symptoms included diffuse pain, reduced mouth opening and jaw's hypomobility and were persistent under a first step conservative treatment. Since image-based navigated interventions have gained in importance and are used for various procedures a navigated surgical intervention was initiated as a second step therapy. Thus precise, atraumatic surgical intervention was performed by an optical tracking system in a difficult anatomical region. A symptomatic abscess was treated by a computed tomography-based navigated surgical intervention at our department. Advantages and disadvantages of this treatment strategy are evaluated. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4073452/ /pubmed/24987612 http://dx.doi.org/10.4103/2231-0746.133090 Text en Copyright: © Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Reports - Infection/Trauma
Wallner, Jürgen
Reinbacher, Knut Ernst
Pau, Mauro
Feichtinger, Matthias
Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title_full Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title_fullStr Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title_full_unstemmed Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title_short Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–A computer tomography based navigated surgical intervention: Case report and review
title_sort intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia–a computer tomography based navigated surgical intervention: case report and review
topic Case Reports - Infection/Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4073452/
https://www.ncbi.nlm.nih.gov/pubmed/24987612
http://dx.doi.org/10.4103/2231-0746.133090
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