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常规根管治疗期间次氯酸钠溶液外渗后出现严重组织损伤和神经功能缺损。

Severe tissue damage and neurological deficit following extravasation of sodium hypochlorite solution during routine endodontic treatment.

作者信息

Witton R, Brennan P A

机构信息

Oral and Maxillofacial Surgery, Queen Alexandra Hospital, Portsmouth.

出版信息

Br Dent J. 2005 Jun 25;198(12):749-50. doi: 10.1038/sj.bdj.4812414.

DOI:10.1038/sj.bdj.4812414
PMID:15980834
Abstract

Endodontic therapy is a routinely practised clinical procedure with few reported complications. Sodium hypochlorite is often used as an irrigant during this procedure, but severe complications may occur if this solution extravasates beyond the root apex. We present a case demonstrating some of the severe sequelae that can occur following the misuse of sodium hypochlorite during endodontic treatment of an upper lateral incisor, which also resulted in the previously unreported complication of isolated facial nerve weakness.

摘要

牙髓治疗是一种常规实施的临床操作,报告的并发症较少。次氯酸钠在该操作过程中常被用作冲洗剂,但如果该溶液渗出根尖以外,则可能发生严重并发症。我们报告一例病例,展示了在上颌侧切牙牙髓治疗期间次氯酸钠使用不当可能导致的一些严重后遗症,该病例还导致了此前未报告的孤立性面神经麻痹并发症。

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