Upper lip blanching and diplopia associated with local anaesthesia of the inferior alveolar nerve.
A case of transient left lateral rectus nerve palsy, following an inferior alveolar nerve block to enable the surgical removal of a permanent mandibular left third molar tooth, is reported. The anatomy related to this case is considered together with suggestions for management of such patients.
Scott
J K
JK
Department of Oral and Maxillofacial Surgery, Salisbury District Hospital, UK. julesyscott@yahoo.co.uk
Moxham
B J
BJ
Downie
I P
IP
D000010:Abducens Nerve / Q000187:drug effects*; D000278:Administration, Buccal; D000328:Adult; D000766:Anesthesia, Dental / Q000009:adverse effects* / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage / Q000009:adverse effects*; D004172:Diplopia / Q000139:chemically induced*; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage / Q000009:adverse effects*; D008046:Lip / Q000098:blood supply; D008047:Lip Diseases / Q000139:chemically induced*; D008340:Mandibular Nerve; D008964:Molar, Third / Q000601:surgery; D009407:Nerve Block / Q000009:adverse effects*; D014081:Tooth Extraction
D000779:Anesthetics, Local; D008012:Lidocaine