Chaurasia Archana, Airan Meenal, Mall Sunil, Gupta Sakshi, Sharma Himanshu, Mohini Anila
Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bareilly, Uttar Pradesh, India.
Department of Oral and Maxillofacial Surgery, Mall Dental Clinic, Deoria, Uttar Pradesh, India.
Ann Maxillofac Surg. 2021 Jan-Jun;11(1):173-175. doi: 10.4103/ams.ams_289_20. Epub 2021 Jul 24.
In dentistry, the most common procedure to be applied is administration of a local anaesthetic agent. It is impossible to practice dentistry without local anaesthesia. In the oral cavity, the palatal mucosa is tightly adherent to the palatal bone and there is little space for anaesthetic solution to be deposited. If local anaesthetic is forcefully injected by the syringe, it creates pressure on blood vessels and causes palatal necrosis.
Here, we present a case report of a 25-year-old male patient who reported to us with chief complaint of an ulcer on the palate.
Patient was diagnosed with postanaesthetic aseptic palatal necrosis.
The patient was managed conservatively using copious irrigation and a palatal acrylic splint.
On the 6 month follow-up, the lesion was completely replaced by healthy mucosa.
TAKE-AWAY LESSONS: We should avoid forceful injection of local anaesthetic agent to prevent further postoperative complications.
在牙科领域，最常用的操作是局部麻醉剂的给药。没有局部麻醉就无法进行牙科治疗。在口腔中，腭黏膜与腭骨紧密相连，几乎没有空间用于沉积麻醉溶液。如果用注射器强行注射局部麻醉剂，会对血管造成压力并导致腭部坏死。
在此，我们报告一例25岁男性患者的病例，该患者前来就诊，主诉腭部有溃疡。
患者被诊断为麻醉后无菌性腭部坏死。
对患者采用大量冲洗和腭部丙烯酸夹板进行保守治疗。
在6个月的随访中，病变完全被健康黏膜替代。
我们应避免强行注射局部麻醉剂，以防止进一步的术后并发症。
