[Necroses and hematomas--two local complications in intraoral conduction anesthesia. Case report].
According to the literature vascular lesions are reported in 6% of intraoral conduction anesthesia. A possible consequence is the intraarterial injection of catecholamin added local anesthetic. Due to a long lasting angiospasm necrosis of local mucosae and extraoral skin are possible. In a young female patient extraoral necrosis of parts of the skin of the lower lip and intraoral mucosa appeared, following intraoral conduction anesthesia. Subsequently a scar persisted needing a plastic cicatricotomy. Moreover sensitivity in the area of distribution of the mental nerve was deranged.
Krüger
U
U
Städt. Kliniken Dortmund.
Nehse
G
G
D000328:Adult; D000766:Anesthesia, Dental / Q000009:adverse effects*; D000772:Anesthesia, Local / Q000009:adverse effects*; D004837:Epinephrine / Q000009:adverse effects; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008046:Lip / Q000098:blood supply; D008047:Lip Diseases / Q000209:etiology; D009061:Mouth Mucosa / Q000473:pathology; D009336:Necrosis
D004837:Epinephrine
Nekrosen und Hämatome--zwei lokale Komplikationen bei der intraoralen Leitungsanästhesie. Ein Fallbericht.