Meaudre Eric, Pernod Georges, Gaillard Pierre-Emmanuel, Kaiser Eric, Cantais Emmanuel, Ripart Jacques, Palmier Bruno
Department of Anaesthesiology and Intensive Care, Military Teaching Hospital, Hôpital d'Instruction des Armées Sainte Anne, Bvd Ste Anne, Service de Réanimation, 83800 Toulon-Naval, France.
Anesth Analg. 2005 Jul;101(1):282-3, table of contents. doi: 10.1213/01.ANE.0000153501.96734.3F.
We report a case of trismus caused by tetanus in an 80-yr-old woman who developed severe and painful masseter spasms during which she violently bit the tip of her tongue with her dentures. Bilateral mandibular blocks were performed to remove the dentures. The patient fully recovered. We suggest that mandibular blocks are a useful tool in the management of oral events during trismus in conscious patients.
我们报告了一例80岁女性因破伤风导致牙关紧闭的病例，该患者出现严重且疼痛的咬肌痉挛，期间她用假牙猛烈咬伤了自己的舌尖。为取出假牙进行了双侧下颌阻滞。患者完全康复。我们认为下颌阻滞是清醒患者牙关紧闭期间处理口腔问题的一种有用工具。
