Abstract
Introduction
Intraoral anesthesia is probably the most commonly used procedure in dentistry.
Methods
Although inferior alveolar nerve block (IANB) anesthesia is one of the safest procedures
to anesthetize the mandibular teeth, side effects of IANB anesthesia can still give
rise to potential risks for patients. Fortunately, most observed alterations are transient
and self-limited.
Results
The complications of IANB anesthesia are varied in nature and could be specifically
categorized into systemic, localized, and distant complications. When the complications
occur around the orofacial structures including the temporomandibular joint, middle
ear, facial skin, and the eye, which are away from the oral cavity, it can be defined
as distant complications. However, to our best knowledge, the concomitant occurrence
of neurologic phenomena such as Horner syndrome combined with cutaneous complications
in a patient receiving IANB anesthesia has never been discussed.
Conclusions
In this exceptional case, the unusual Horner syndrome manifestations related to unilateral
ptosis, miosis, and anisocoria were simultaneously developed with skin ischemia, paresthesia,
and asymmetric flushing after the administration of IANB anesthesia.
Key Words
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Article info
Publication history
Published online: October 10, 2013
Identification
Copyright
© 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
