Annals of Maxillofacial Surgery

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


Jurgen Wallner, Knut Ernst Reinbacher, Mauro Pau, Matthias Feichtinger 
 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

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«SQ»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.


How to cite this article:
Wallner J, Reinbacher KE, Pau M, Feichtinger M. Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia-A computer tomography based navigated surgical intervention: Case report and review.Ann Maxillofac Surg 2014;4:110-114


How to cite this URL:
Wallner J, Reinbacher KE, Pau M, Feichtinger M. Intermuscular pterygoid-temporal abscess following inferior alveolar nerve block anesthesia-A computer tomography based navigated surgical intervention: Case report and review. Ann Maxillofac Surg [serial online] 2014 [cited 2021 Aug 1 ];4:110-114
Available from: https://www.amsjournal.com/article.asp?issn=2231-0746;year=2014;volume=4;issue=1;spage=110;epage=114;aulast=Wallner;type=0