Anatomical relationships within the human pterygomandibular space: Relevance to local anesthesia

2010 ◽  
Vol 23 (8) ◽  
pp. 936-944 ◽  
Author(s):  
Jason Khoury ◽  
Suzanna Mihailidis ◽  
Mounir Ghabriel ◽  
Grant Townsend
Keyword(s):  
Local Anesthesia ◽  
Pterygomandibular Space

scholarly journals Removal of a broken dental needle in the pterygomandibular space using an image intensifier: two case reports

2021 ◽  
Author(s):  
Paulo Rogério Corrêa Couto ◽  
Rafael do Nascimento Silva ◽  
Rafael de Sousa Carvalho Sabóia ◽  
Airton Vieira Leite Segundo
Keyword(s):  
Postoperative Complications ◽  
General Anesthesia ◽  
Local Anesthesia ◽  
Case Reports ◽  
Inferior Alveolar Nerve ◽  
Image Intensifier ◽  
Dental Practice ◽  
Inferior Alveolar Nerve Block ◽  
Pterygomandibular Space ◽  
Broken Needle

Introduction: Accidents and complications are elements that can occasionally be associated with the procedures realized within work dentist environment. Among some accidents related to dental practice, needle fracture during local anesthesia is noteworthy due to its rarity. Objective: This work seeks to report two cases of removal of a broken dental needle in the pterygomandibular space using an image intensifier. Material and Methods: In both cases, the accident happened during an inferior alveolar nerve block. The surgeons requested image exams to locate the objects using general anesthesia. In the surgery, a transoral incision was made to remove the broken needle from the pterygomandibular space, guided by an image intensifier. Results: Both surgeries were a success. The broken needles were found quickly with the use of the image intensifier, and no postoperative complications were observed. Conclusion: The correct assessment of fractured dental position is essential for its removal. The use of the image intensifier has been showing advantages, such as offering fast transoperative dynamic images and at different angles, thus providing opportunity for calmer surgery and with less risk for the patient and the operator.

Mental imagery and intraoral local anesthesia

1984 ◽  
Vol 48 (12) ◽  
pp. 653-658
Author(s):  
MM Walsh ◽  
R Hannebrink ◽  
B Heckman
Keyword(s):  
Local Anesthesia ◽  
Mental Imagery

1117: Percutaneous CT-Guided Renal Cryoablation Under Local Anesthesia: Pain Assessment

2006 ◽  
Vol 175 (4S) ◽  
pp. 359-359
Author(s):  
Sompol Permpongkoso ◽  
Aaron Sulman ◽  
Stephen B. Solomon ◽  
GaryX Gong ◽  
Louis R. Kavoussi
Keyword(s):  
Local Anesthesia ◽  
Pain Assessment ◽  
Ct Guided

Successful Endovascular Repair of a Leaking Abdominal Aortic Aneurysm under Local Anesthesia

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Lachat ◽  
Pfammatter ◽  
Bernard ◽  
Jaggy ◽  
Vogt ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Ct Scan ◽  
Local Anesthesia ◽  
Endovascular Repair ◽  
Anesthetic Management ◽  
High Risk Patient ◽  
Invasive Technique ◽  
Chronic Obstructive ◽  
Abdominal Aortic

Local anesthesia is a safe and less invasive anesthetic management for the endovascular approach to elective aortic aneurysm. We have successfully extended the indication of local anesthesia to a high-risk patient with leaking aneurysm and stable hemodynamics. Patient and methods: A 86 year old patient with renal insufficiency due to longstanding hypertension, coronary artery and chronic obstructive lung disease was transferred to our hospital with a leaking abdominal aortic aneurysm. Stable hemodynamics allowed to perform a fast CT scan, that confirmed the feasibility of endovascular repair. A bifurcated endograft (24mm x 12mm x 153mm) was implanted under local anesthesia. Results: The procedure was completed within 85 minutes without problems. The complete sealing of the aneurysm was confirmed by CT scan on the third postoperative day. Twenty months later, the patient is doing well and radiological control confirmed complete exclusion of the aneurysm. Discussion: The endoluminal treatment is a minimally invasive technique. It's feasibility can be rapidly assessed by CT scan. The transfemoral implantation can be performed under local anesthesia provided that hemodynamics are stable. This anesthetic management seems to be particularly advantageous for leaking abdominal aortic aneurysm since it doesn't change the hemodynamic situation in contrast to general anesthesia. Hemodynamic instability, abdominal distension or tenderness may indicate intraperitoneal rupture and conversion to open graft repair should be performed without delay.

Sedation and local anesthesia preferences of emergency physician parents

2000 ◽  
Vol 18 (6) ◽  
pp. 0737-0738
Author(s):  
Jason K. Fleming ◽  
Jay T. Ishida ◽  
Loren G. Yamamoto
Keyword(s):  
Local Anesthesia ◽  
Emergency Physician
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