Postanesthetic ulceration of palate: A rare complication

Gupta, Ramesh C.; Garg, Meenu; Pawah, Salil; Gupta, Ajay

doi:10.4103/0975-5950.196142

Cited by 8 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Local anesthetics can determine a partial ischemia due to their vasoconstrictive effect that determine a reduced blood supply to tissues. 6 Ischemia of the glans after circumcision is a rare event; partial necrosis of the glans has been described in the literature as an effect of DPNB with several types of local anesthetics, 7 like ropivacaine and lidocaine, mostly when containing vasoconstrictor as ephedrine or epinephrine.…”

Section: Discussionmentioning

confidence: 99%

Ischemia of the glans 24 hours after circumcision: A case report and therapeutic solution

et al. 2018

View full text Add to dashboard Cite

Introduction: Circumcision is a common surgical procedure, typically performed under local anesthesia and somehow also as outpatient clinic. Although complications are rare and most frequently related to the procedure itself, ischemia of the glans may occur as a major complication and can be related to local ischemia following dorsal penile nerve block. Case description: We describe the case of a 33-year-old patient who underwent circumcision at our institution and, 24 h after the procedure, developed an acute ischemia of the glans; a re-intervention was performed in emergency setting to ensure a large, not-tightened circular suture under the glans, and low-molecular-weight heparin and antiplatelet therapy was introduced to achieve anti-coagulative/antiaggregant effects. After 48 h, the skin returned to its normal color and in 7 days the penile glans achieved complete remission of the ischemic aspect. A 6-month follow-up confirmed regular outcomes with normal erectile functions. Conclusion: The treatment we proposed to treat acute post-circumcision ischemia of the glans is a simple and effective one, with a perfect aesthetic and functional outcome observed within 4 weeks and confirmed at 6-month follow-up.

show abstract

Section: Discussionmentioning

confidence: 99%

Ischemia of the glans 24 hours after circumcision: A case report and therapeutic solution

et al. 2018

View full text Add to dashboard Cite

show abstract

“…One of the factors that trigger the development of necrosis is the content of local anesthetic agents. Especially local anesthetic drugs containing vasoconstrictor agent reduce our blood flow to the tissue and may cause ischemia [26]. The circumcision operation is performed under local anesthesia by dorsal nerve blockage.…”

Section: Local Anesthesiamentioning

confidence: 99%

Management of Post-Circumcision Glans/Penile Necrosis

Arikan¹,

Ayten²

2022

Male Reproductive Anatomy

View full text Add to dashboard Cite

Circumcision is the surgical removal of the skin covering the glans and is one of the oldest and most common surgical procedures in the world. Although there is evidence that the first circumcision was performed in Egypt in 4000 BC, according to some anthropologists, it dates back to the 10th millennium BC. The purpose of medical circumcision is to obtain enough foreskin to expose the glans penis and to prevent medical problems caused by the foreskin. Although it is known that the complications arising from these procedures are not well documented, the complication rates in the literature vary between 1 and 15%, when evaluated according to age, the rate of post-circumcision complications in newborns is reported to be approximately 0.2-0.6% and this rate is 10 times higher between the ages of 1-9. Various complications such as bleeding, infection, incomplete and insufficient circumcision, hematoma, penile adhesion, urinary retention, glanular injury, necrosis and urethral narrowing have been reported. In this book section, one of the complications, penile necrosis, will be explained in the light of the literature.

show abstract

“…Rarely surgical intervention is necessary when ulcer does not heal. An oral protective emollient orabase paste can also be prescribed [7].…”

Section: Post-anesthetic Ulceration Of Palatementioning

confidence: 99%

Oral Mucosal Trauma and Injuries

Koray¹,

Tosun²

2019

Trauma in Dentistry

View full text Add to dashboard Cite

Trauma-related oral lesions are common in clinical practice of dentistry and they can impair patients' normal oral function and cause pain in patients' eating, chewing, and talking. An injury to the oral mucosa can result from physical, chemical, or thermal trauma. Such injuries can result from accidental tooth bite, hard food, sharp edges of the teeth, hot food, or excessive tooth brushing. Some injuries can also be caused by iatrogenic damage during dental treatment or other procedures related to oral cavity. In this chapter, oral mucosal trauma and injuries will be examined in four subclasses: physical and mechanical traumas of oral mucosa; chemical injuries of the oral mucosa; radiation injuries; and electrical, thermal burns.

show abstract

Postanesthetic ulceration of palate: A rare complication

Cited by 8 publications

References 5 publications

Ischemia of the glans 24 hours after circumcision: A case report and therapeutic solution

Ischemia of the glans 24 hours after circumcision: A case report and therapeutic solution

Management of Post-Circumcision Glans/Penile Necrosis

Oral Mucosal Trauma and Injuries

Contact Info

Product

Resources

About