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CASE REPORTS - INFECTION/TRAUMA
Year : 2014  |  Volume : 4  |  Issue : 1  |  Page : 110-114

Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia-A computer tomography based navigated surgical intervention: Case report and review


Department of Maxillofacial Surgery, Medical University of Graz, Graz, Australia

Correspondence Address:
Jurgen Wallner
Department of Oral and Maxillofacial Surgery, Medical University of Graz, Auenbruggerplatz 5, A-8010 Graz
Australia
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DOI: 10.4103/2231-0746.133090

PMID: 24987612

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Inferior alveolar nerve block (IANB) anesthesia is a common local anesthetic procedure. Although IANB anesthesia is known for its safety, complications can still occur. Today immediately or delayed occurring disorders following IANB anesthesia and their treatment are well-recognized. We present a case of a patient who developed a symptomatic abscess in the pterygoid region as a result of several inferior alveolar nerve injections. Clinical symptoms included diffuse pain, reduced mouth opening and jaw's hypomobility and were persistent under a first step conservative treatment. Since image-based navigated interventions have gained in importance and are used for various procedures a navigated surgical intervention was initiated as a second step therapy. Thus precise, atraumatic surgical intervention was performed by an optical tracking system in a difficult anatomical region. A symptomatic abscess was treated by a computed tomography-based navigated surgical intervention at our department. Advantages and disadvantages of this treatment strategy are evaluated.


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