제 3대구치 발치 후 발생한 돌발성 난청: 증례보고 및 문헌 고찰
Sudden sensorineural hearing loss after third molar extraction: Case report and literature review
김형기, 김일형, 구정귀, 노민호,
소속 상세정보
김형기 ( Kim Hyung-Ki ) - Seoul National University Bundang Hospital Section of Dentistry Department of Oral and Maxillofacial Surgery
김일형 ( Kim Il-Hyung ) - Seoul National University Bundang Hospital Section of Dentistry Department of Oral and Maxillofacial Surgery
구정귀 ( Ku Jeong-Kui ) - Armed Forces Medical Command Armed Forces Capital Dental Hospital Department of Oral and Maxillofacial Surgery
노민호 ( Noh Min-Ho ) - Armed Forces Medical Command Armed Forces Capital Hospital Department of Otolaryngology
KMID : 0362720200580070404
Abstract
This study reports the unusual complications of 22-year-old male who presented with sudden hearing loss after the right mandibular third molar extraction under local anesthesia with 3.6 ml of 2 % lidocaine. Total 8.75 mg of oral dexamethasone for 1 week immediately after extraction was prescribed in department of oral and maxillofacial surgery but hearing did not improve after 1 week. As referral to otolaryngology, total 600 mg of oral methylon and hyperbaric oxygen therapies were operated for 2 weeks. The hearing of patient was improved at 6 weeks after extraction but tinnitus was persisted even after 12 months. The reason and treatment were discussed with literature review, searching with the keywords [‘hearing loss’ AND (‘dental’ OR ‘tooth extraction’OR‘teeth extraction’)] in PubMed and Google scholar at October 2019. Total five cases were reported after tooth extraction with local anesthesia. The sudden hearing loss could be associated with local anesthesia containing vasoconstrictors. Early steroid (extensive medication and intra-tympanic injection) and hyperbaric oxygen therapies were recommended within 2 weeks. As a proper treatment, hearing could be improved but other additional symptoms, such as tinnitus, dizziness, might be remained.
키워드
Complication; Extraction; Sudden hearing loss; Impacted tooth; Third molar
원문 및 링크아웃 정보
등재저널 정보