Sood Ramita Vijaybhushan, Chauhan Anupama Bashishth, Tiwari Ragini R, Kurani Mustafa Kausar, Trivedi Nisarg Rakesh, Bhatt Mauli Gaurangkumar
Department of Oral and Maxillofacial Surgery, AMC Dental College and Hospital, Ahmedabad, Gujarat, India.
Ann Maxillofac Surg. 2024 Jan-Jun;14(1):120-123. doi: 10.4103/ams.ams_27_24. Epub 2024 Jul 19.
Lignocaine, amongst all the local anaesthetic agents, is the most common agent used in dentistry and in the field of oral surgery. Local anaesthesia is very effective, safe and simple to use. Rare complications related to it are reported.
We present a case series of patients with sloughing and necrosis of tissue allegedly caused due to administration of contaminated local anaesthesia. All the patients had a history of extraction by same practitioner at same time duration and centre.
The patient was diagnosed with post-anaesthetic tissue necrosis.
All the cases presented in this report were managed conservatively.
On 2-month follow-up, the lesion healed and was replaced by healthy tissue.
TAKE-AWAY LESSON: Risk factors should be well assessed and precautions must be taken before administration of lignocaine to avoid the adverse outcome.
在所有局部麻醉剂中，利多卡因是牙科和口腔外科领域最常用的麻醉剂。局部麻醉非常有效、安全且易于使用。与之相关的罕见并发症也有报道。
我们展示了一系列病例，这些患者的组织出现脱落和坏死，据称是由于使用了受污染的局部麻醉剂所致。所有患者都有在同一时间、同一中心由同一名医生进行拔牙的病史。
患者被诊断为麻醉后组织坏死。
本报告中呈现的所有病例均采用保守治疗。
在2个月的随访中，病变愈合，被健康组织取代。
在使用利多卡因之前，应充分评估风险因素并采取预防措施，以避免不良后果。
