Concomitant Horner and Harlequin Syndromes after Inferior Alveolar Nerve Block Anesthesia

Huang, Ren‐Yeong; Chen, Ying-Jen; Fang, Wen‐Hui; Mau, Lian-Ping; Shieh, Yi‐Shing

doi:10.1016/j.joen.2013.09.006

Cited by 17 publications

(16 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The reported cases[6781011] are consistent in pointing out the superficial effect of the anesthetic block of IAN on the skin and attached neighbouring orbital structures. However, there are very few reports[12] about the presence of itching and burning sensations, blanching, pain, and face ischemia in the oral cavity during the IAN block.…”

Section: Introductionsupporting

confidence: 65%

“…[810111617] This artery passes mainly behind the IAN,[18] and although the initial positive aspiration can be negative, the movement of the patient's head or the operator's hand can cause the needle to penetrate the arterial wall. [10] Another theoretical explanation could be anatomic variations that approach the maxillary artery in the pterygomandibular region,[18] which would serve as a precedent to explain the intravascular injection directly into the maxillary artery and the observed ischemia that coincides with the topographic distribution of its branches.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Skin and mucosal ischemia as a complication after inferior alveolar nerve block

et al. 2016

View full text Add to dashboard Cite

The anesthetic block of the inferior alveolar nerve (IAN) is one of the most common techniques used in dental practice. The local complications are due to the failures on the anesthetic block or to anatomic variations in the tap site such as intravascular injection, skin ischemia and ocular problems. The aim of this article is to present a case and discuss the causes of itching and burning sensation, blanching, pain and face ischemia in the oral cavity during the IAN block.

show abstract

Section: Introductionsupporting

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Skin and mucosal ischemia as a complication after inferior alveolar nerve block

et al. 2016

View full text Add to dashboard Cite

show abstract

“…the patient. 22,23 Our results indicate that the mean distance between the mandibular foramen and the mandibular notch is 14.6 mm. This measurement suggests that the operator should not position the needle any higher than 1.0 cm above the mandibular foramen to maintain a safe distance from the mandibular notch.…”

Section: Resultsmentioning

confidence: 63%

Mandibular foramen location

et al. 2019

View full text Add to dashboard Cite

Objective: This study proposed to locate the mandibular foramen position by using cone beam computed tomography (CBCT) imaging, based on landmarks used at inferior alveolar nerve block (IANB) technique in order to increase the success rate of this procedure. Materials and methods: 58 mandibular foramina of 29 adult patients were evaluated. Linear and angular CBCT measurements were defined for the mandibular foramen based on the IANB technique. The measurements were performed by two radiologists. Data analyses consisted of verifying the normality, obtaining the mean value of all patients and comparing the data obtained between male and female patients. Results: Student’s t and Mann-Whitney’s U tests were used to calculate the mean mandibular foramen position. The three mean position measurements of the mandibular foramen were 13.5 mm above the occlusal plan (15.5 mm for male and 11.7 mm for female patients), 14.6 mm below the mandibular notch (14.9 mm for male and 13.7 mm for female patients) and 14.2 mm from the anterior border of mandibular ramus (14.6 mm for male and 13.8 mm for female patients). The angle formed by the molar lines and contralateral premolar lines was 25.8° and the angle formed by the molar lines and contralateral second premolar/molar lines was 31.5°. Conclusion: CBCT images were a useful method to provide the measurements of the mandibular foramen position based on landmarks used by the IANB technique. We encourage the use of these measurements as reference to increase the clinical success when performing the IANB technique.

show abstract

“…Detailed clinical examination, testing of autonomic functions, and appropriate imaging techniques may help to describe additional abnormalities and localize the site of sympathetic deficit. Clinical examination in suspected cases should particularly include a search for pathology in the area of the thoracic sympathetic outflow and assessment of pupillary responses and deep tendon reflexes [7]. …”

Section: Discussionmentioning

confidence: 99%

Idiopathic Harlequin Syndrome Manifesting during Exercise: A Case Report and Review of the Literature

Algahtani

Shirah

Algahtani

et al. 2017

Case Reports in Medicine

View full text Add to dashboard Cite

Harlequin syndrome is a rare autonomic disorder characterized by unilateral facial flushing and sweating with contralateral anhidrosis induced by exercise, heat, and emotion. It is usually idiopathic but could be the first manifestation of several serious underlying medical conditions. Medical or surgical treatments are not required for idiopathic Harlequin syndrome, but social and psychological factors may indicate sympathectomy or botulinum toxin injection. In this article, we report a case of idiopathic Harlequin syndrome and review the literature.

show abstract

Concomitant Horner and Harlequin Syndromes after Inferior Alveolar Nerve Block Anesthesia

Cited by 17 publications

References 19 publications

Skin and mucosal ischemia as a complication after inferior alveolar nerve block

Skin and mucosal ischemia as a complication after inferior alveolar nerve block

Mandibular foramen location

Idiopathic Harlequin Syndrome Manifesting during Exercise: A Case Report and Review of the Literature

Contact Info

Product

Resources

About