Peripheral facial nerve paralysis after upper third molar extraction.
Peripheral facial nerve paralysis (PFNP) after mandibular interventions has been reported in the literature. In most cases, paralysis begins immediately after the injection of the mandibular anesthesia, and duration of facial weakness is less than 12 hours. However, there are few documented cases of PFNP after maxillary dental or surgical procedures. A variety of mechanisms have been associated to PFNP, including viral reactivation, demyelination, edema, vasospasm, and trauma. The purpose of this presentation was to report a rare case of facial paralysis that occurred after an upper third molar extraction. The cause of the PFNP and the importance of the multidisciplinary approach in the management are emphasized.
Department of Oral and Maxillofacial Surgery, Dentistry Faculty, Istanbul University, Istanbul, Turkey. sirmacakar@yahoo.com
Sirmahan
S
Cakarer
Taylan
T
Can
Burak
B
Cankaya
Mehmet Ali
MA
Erdem
Sinem
S
Yazici
Emre
E
Ayintap
Ali Veysel
AV
Özden
Cengizhan
C
Keskin
D000328:Adult; D003907:Dexamethasone / Q000627:therapeutic use; D004599:Electric Stimulation Therapy; D005081:Exercise Therapy; D005149:Facial Expression; D005152:Facial Muscles / Q000294:innervation; D005155:Facial Nerve Diseases / Q000209:etiology*; D005158:Facial Paralysis / Q000209:etiology*; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D008964:Molar, Third / Q000601:surgery*; D018908:Muscle Weakness / Q000209:etiology; D014081:Tooth Extraction / Q000009:adverse effects*
D005938:Glucocorticoids; D003907:Dexamethasone