당뇨환자에서 하치조신경 전달마취와 턱관절 탈구후 유발된 안면신경 마비 치험 1예 -증례보고-
The Care of Facial Palsy after Inferior Alveolar Nerve Block Anesthesia and Temporomandibular Joint Dislocation in Diabetic Mellitus Patient -A Case Report-
이천의, 유재하, 최병호, 김종배,
소속 상세정보
이천의 ( Lee Chun-Ui ) - 연세대학교 치과대학 구강악안면외과학교실
유재하 ( Yoo Jae-Ha ) - 연세대학교 치과대학 구강악안면외과학교실
최병호 ( Choi Byung-Ho ) - 연세대학교 치과대학 구강악안면외과학교실
김종배 ( Kim Jong-Bae ) - 계명대학교 의과대학 동산의료원 치과학교실
KMID : 0980220110110010045
Abstract
Bell’s palsy is an isolated facial paralysis of sudden onset caused by a neuritis of the seventh nerve within the facial canal. It occurs often in the adult man with a history of recent exposure to local cold, such as sleeping next to an open window, or in some cases it occurs after infections of the nasopharynx or masticator spaces. Especially, this neuropathy have linked with the major collagen disorders (diabetes mellitus). A segmental demyelination develops rapidly, with vascultitis in microinfarcts and ischemia to the nerve segment. The authors experienced about the bizarre neurological symptom of Bell’s palsy after inferior alveolar nerve block anesthesia and TMJ dislocation in diabetic mellitus. The early and correct consultation with the multiple medical and dental departments was important to prevent the inadequate care & medicolegal problems.
키워드
Facial palsy; Diabetes mellitus; Segmental demyelination; Bizarre neurologic symptom; Local block anesthesia
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