Asystole during Le Fort I osteotomy.
A case report of asystole occurring during down-fracture of a maxilla in a Le Fort I osteotomy procedure is described. The case serves to illustrate an extreme example of the trigeminovagal reflex during manipulation of the maxilla.
Ragno
J R
JR
US Army Dental Corps, Walter Reed Army Medical Center, Washington, DC.
Marcoot
R M
RM
Taylor
S E
SE
D000293:Adolescent; D001145:Arrhythmias, Cardiac / Q000209:etiology*; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods; D012018:Reflex; D014276:Trigeminal Nerve / Q000502:physiology; D014630:Vagus Nerve / Q000502:physiology