Ocular complications associated with inferior dental nerve block: A systematic review.

IF 2.2 3区医学 Q2 Dentistry

Journal of Stomatology Oral and Maxillofacial Surgery Pub Date : 2024-11-12 DOI:10.1016/j.jormas.2024.102141

Pablo Andrés Crespo-Reinoso, Erika Paola Padilla-Viñanzaca, Jessica Daniela Peralta-Quezada

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引用次数: 0

Abstract

Ocular complications associated with anesthesia of the lower dental nerve may arise during or after administration of the local anesthetic, whether temporary or permanent. This situation generates concern for both the clinician and the patient. The purpose of this article is to identify ocular complications related to lower dental nerve block, analyzing signs, symptoms, gender, age, type of procedure, and duration of complications.

Methods: In September 2023, we conducted a systematic review using various databases, such as PubMed, ScienceDirect, and Google Scholar, using relevant search terms. There were no restrictions on the date or language of the articles.

Results: We identified 39 articles that met the selection criteria, covering an analysis of 45 cases. Complications showed a higher incidence in women, with 65.11 %, compared to 34.8 % in men. The most frequent ocular complications reported were diplopia (44 %), amaurosis (28 %) and eyelid ptosis (17.77 %).

Conclusions: Ocular complications related to lower tooth nerve block are rare, but they can occur. A higher incidence is observed in women than in men, and there is no specific age that predominates in its appearance. Diplopia is the most common ocular complication, followed by amaurosis, eyelid ptosis, and blurred vision. These complications may manifest during the infiltration of the anesthetic, immediately after the procedure, or a few hours later.

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与牙下神经阻滞相关的眼部并发症：系统综述。

与下牙神经麻醉相关的眼部并发症可能会在使用局麻药期间或之后出现，无论是暂时性的还是永久性的。这种情况会引起临床医生和患者的担忧。本文旨在确定与下牙神经阻滞相关的眼部并发症，分析并发症的体征、症状、性别、年龄、手术类型和持续时间：2023 年 9 月，我们利用 PubMed、ScienceDirect 和 Google Scholar 等多个数据库，使用相关检索词进行了系统性综述。对文章的日期和语言没有限制：我们找到了 39 篇符合筛选标准的文章，对 45 个病例进行了分析。女性的并发症发生率较高，为 65.11%，而男性为 34.8%。最常见的眼部并发症是复视（44%）、眼睑下垂（17.77%）：结论：与下齿神经阻滞相关的眼部并发症虽然罕见，但也有可能发生。结论：与下齿神经阻滞相关的眼部并发症很少见，但也有可能发生。女性的发病率高于男性，而且没有特定的主要发病年龄。复视是最常见的眼部并发症，其次是眼球突出、眼睑下垂和视力模糊。这些并发症可能在注射麻醉剂时、手术后立即或几小时后出现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Stomatology Oral and Maxillofacial Surgery Dentistry-Oral Surgery

CiteScore

2.20

自引率

9.10%

发文量

305

期刊介绍： J Stomatol Oral Maxillofac Surg publishes research papers and techniques - (guest) editorials, original articles, reviews, technical notes, case reports, images, letters to the editor, guidelines - dedicated to enhancing surgical expertise in all fields relevant to oral and maxillofacial surgery: from plastic and reconstructive surgery of the face, oral surgery and medicine, … to dentofacial and maxillofacial orthopedics. Original articles include clinical or laboratory investigations and clinical or equipment reports. Reviews include narrative reviews, systematic reviews and meta-analyses. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. The journal is indexed in the main international databases and is accessible worldwide through the ScienceDirect and ClinicalKey Platforms.