Crean S J, Powis A
Department of Maxillofacial Surgery, Eastman Dental Hospital and Institute, London.
Dent Update. 1999 Oct;26(8):344-9. doi: 10.12968/denu.1999.26.8.344.
Neurological complications following the administration of a local anaesthetic can be alarming. By reading reports of such incidents, dentists who find themselves in similar situations will be able to reassure their patients and act accordingly. The authors have reviewed the literature for those neurological complications that have been reported and offer an explanation of their aetiology. Examples of complications covered are facial nerve palsy, transient amaurosis, post-injection paraesthesia, Horner's syndrome, transient paralysis of combined cranial nerves III, IV and VI, sudden unilateral deafness and abducens nerve palsy. A thorough knowledge of the relevant anatomy pertinent to the various injections used in dental surgery is essential and is highlighted in the text.
局部麻醉剂给药后出现的神经并发症可能令人担忧。通过阅读此类事件的报告，处于类似情况的牙医将能够安抚他们的患者并采取相应行动。作者回顾了已报道的那些神经并发症的文献，并对其病因进行了解释。所涵盖的并发症实例包括面神经麻痹、一过性黑矇、注射后感觉异常、霍纳综合征、动眼神经、滑车神经和展神经联合一过性麻痹、突发性单侧耳聋和展神经麻痹。全面了解与牙科手术中使用的各种注射相关的相关解剖结构至关重要，文中对此进行了重点强调。
