Department of Algology, Ordu State Hospital, Ordu, Türkiye.
Department of Anesthesiology and Reanimation, Niksar State Hospital, Tokat, Türkiye.
Agri. 2024 Apr;36(2):129-132. doi: 10.14744/agri.2021.11129.
Ocular complications are one of the rare side effects that can be seen after a mandibular nerve block and have the most dramatic results. Since the mandibular nerve block is mostly performed by dentists, this complication is mostly seen after an intraoral mandibular nerve block. The mandibular nerve is the third division of the trigeminal nerve. It is the most caudal and lateral part of Gasser's ganglion. It arises from the middle cranial fossa through the foramen ovale. In this region, a block method, which is performed by passing through the coronoid process, has been defined. This block, usually made using anatomical markers, is used in the treatment of trigeminal neuralgia. A 42-year-old female patient was admitted to our department for a maxillary and mandibular block with a diagnosis of trigeminal neuralgia. Immediately after the administration of the local anesthetic, the patient described a complete loss of vision. The complaint of vision loss lasted for about 1 minute, after which the patient's complaint of diplopia continued for 2 hours and 10 minutes. This case report presents the ocular complications after a mandibular block applied with the extraoral technique as an unexpected side effect.
眼部并发症是在下颌神经阻滞后可能出现的罕见副作用之一,其后果最为显著。由于下颌神经阻滞大多由牙医进行,因此这种并发症大多发生在口腔内的下颌神经阻滞之后。下颌神经是三叉神经的第三分支,是 Gasser 神经节最靠后和最外侧的部分。它从中颅窝通过卵圆孔发出。在这个区域,已经定义了一种通过喙突传递的阻滞方法。这种阻滞通常使用解剖学标记物进行,用于治疗三叉神经痛。一名 42 岁的女性患者因三叉神经痛被收入我科进行上颌和下颌阻滞。局部麻醉剂给药后,患者立即描述说完全失明。视力丧失的症状持续了大约 1 分钟,之后患者的复视症状持续了 2 小时 10 分钟。本病例报告介绍了一种意外的副作用,即采用口腔外技术进行下颌阻滞后的眼部并发症。