대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)
- 제9권2호
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- Pages.108-115
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- 2009
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- 1598-4044(pISSN)
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- 2383-7039(eISSN)
설신경과 장협신경 전달마취 시행 후 발생된 설부와 협선반부의 장기간 이상감각증 관리 -증례보고-
The Persistent Paresthesia Care on Left Lingual & Buccal Shelf Regions after the Lingual & Long Buccal Nerve Block Anesthesia -A Case Report-
- 김하랑 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
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유재하
(연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
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최병호
(연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
- 모동엽 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
- 이천의 (연세대학교 치과대학 구강악안면외과학교실(원주기독병원)) ;
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김종배
(계명대학교 의과대학 동산의료원 치과학교실(구강악안면외과))
- Kim, Ha-Rang (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
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Yoo, Jae-Ha
(Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
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Choi, Byung-Ho
(Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
- Mo, Dong-Yub (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
- Lee, Chun-Ui (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University (Wonju Christian Hospital)) ;
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Kim, Jong-Bae
(Department of Dentistry (Oral & Maxillofacial Surgery), Dong San Medical Center, College of Medicine, Keimyung University)
- 발행 : 2009.12.30
초록
Trauma to any nerve may lead to persistent paresthesia. Trauma to the nerve sheath can be produced by the needle. The patient frequently reports the sensation of an electric shock throughout the distribution of the nerve involved. It is difficult for the type of needle used in dental practice to actually sever a nerve trunk or even its fibers. Trauma to the nerve produced by contact with the needle is all that is needed to produce paresthesia. Hemorrhage into or around the neural sheath is another cause. Bleeding increases pressure on the nerve, leading to paresthesia. Injection of local anesthetic solutions contaminated by alcohol or sterilizing solution near a nerve produces irritation; the resulting edema increases pressure in the region of the nerve, leading to paresthesia. Persistent paresthesia can lead to injury to adjacent tissues. Biting or thermal or chemical insult can occur without a patient's awareness, until the process has progressed to a serious degree. Most paresthesias resolve in approximately 8 weeks without treatment. In most situations paresthesia is only minimal, with the patient retaining most sensory function to the affected area. In these cases there is only a very slight possibility of self injury. But, the patient complaints the discomfort symptoms of paresthesia, such as causalgia, neuralgiaform pain and anesthesia dolorosa. Most paresthesias involve the lingual nerve, with the inferior alveolar nerve a close second. This is the report of a case, that had the persistent paresthesia care on left lingual & buccal shelf regions after the lingual and long buccal nerve block anesthesia.
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