Khalifeh Banine, Simonian Karin, Houmani Moustafa, El-Outa Abbass, Khalil Wael
Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Lebanese University, Beirut, LBN.
Prosthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, LBN.
Cureus. 2024 Nov 10;16(11):e73394. doi: 10.7759/cureus.73394. eCollection 2024 Nov.
Trismus, characterized by a restricted mouth opening due to involuntary muscle spasms, poses significant challenges to eating, speaking, and other oral functions. In fact, this condition often results from various factors including post-third molar surgery complications, temporalis and medial pterygoid muscle involvement, repeated or incorrectly administered intramuscular injections, and complications from local anesthesia usage. Despite the high safety and efficacy of local anesthetics in oral surgery, side effects including trismus warrant careful consideration. Management strategies for muscle-related trismus typically involve a multitude of early interventions, with resolution generally occurring within few weeks. Our paper presents a case where trismus following inferior alveolar nerve block administration was successfully managed through a comprehensive approach, leading to significant improvements in mouth opening, pain, and edema. Despite being challenging, this case highlights the effectiveness of a multifaceted treatment strategy in managing trismus and underscores the importance of early and appropriate interventions to enhance patient outcomes.
牙关紧闭症表现为因非自愿性肌肉痉挛导致的张口受限,对进食、说话及其他口腔功能构成重大挑战。事实上,这种情况通常由多种因素引起,包括第三磨牙手术后的并发症、颞肌和翼内肌受累、反复或不正确的肌肉注射以及局部麻醉使用的并发症。尽管局部麻醉剂在口腔手术中具有很高的安全性和有效性,但包括牙关紧闭症在内的副作用仍需谨慎考虑。与肌肉相关的牙关紧闭症的管理策略通常涉及多种早期干预措施,一般在几周内即可缓解。我们的论文介绍了一例通过综合方法成功治疗下牙槽神经阻滞给药后牙关紧闭症的病例,该病例使张口度、疼痛和水肿有了显著改善。尽管具有挑战性,但该病例凸显了多方面治疗策略在治疗牙关紧闭症方面的有效性,并强调了早期和适当干预对改善患者预后的重要性。