대한치과의사협회지 (The Journal of the Korean dental association)

  • 제58권7호
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  • Pages.404-411
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  • 2020
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

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 (인재개발실, 국군수도병원, 의무사령부) ;
  • 김일형 (인재개발실, 국군수도병원, 의무사령부) ;
  • 구정귀 (구강악안면외과, 국군수도치과병원, 의무사령부) ;
  • 노민호 (이비인후과, 국군수도병원, 의무사령부)
  • Kim, Hyung Ki (Office of Human Resources Development, Armed Forces Capital Hospital, Armed Forces Medical Command) ;
  • Kim, Il-hyung (Office of Human Resources Development, Armed Forces Capital Hospital, Armed Forces Medical Command) ;
  • Ku, Jeong-Kui (Department of Oral and Maxillofacial Surgery, Armed Forces Capital Dental Hospital, Armed Forces Medical Command) ;
  • Noh, Min-Ho (Department of otolaryngology, Armed Forces Capital Hospital, Armed Forces Medical Command)
  • 투고 : 2020.02.07
  • 심사 : 2020.03.20
  • 발행 : 2020.06.30
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초록

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.

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참고문헌

  1. Sigron GR, Pourmand PP, Mache B, Stadlinger B, Locher MC. The most common complications after wisdom-tooth removal: part 1: a retrospective study of 1,199 cases in the mandible. Swiss dental journal. 2014;124(10):1042-6, 52-6.
  2. Sirin Y, Humphris G, Sencan S, Firat D. What is the most fearful intervention in ambulatory oral surgery? Analysis of an outpatient clinic. Int J Oral Maxillofac Surg. 2012;41(10):1284-90. https://doi.org/10.1016/j.ijom.2012.06.013
  3. Chandrasekhar SS, Tsai Do BS, Schwartz SR, Bontempo LJ, Faucett EA, Finestone SA, et al. Clinical Practice Guideline: Sudden Hearing Loss (Update). Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2019;161(1_suppl):S1-s45. https://doi.org/10.1177/0194599819859885
  4. Canale A, Dagna F, Lacilla M, Piumetto E, Albera R. Relationship between pure tone audiometry and tone burst auditory brainstem response at low frequencies gated with Blackman window. European Archives of Oto-Rhino-Laryngology. 2012;269(3):781-5. https://doi.org/10.1007/s00405-011-1723-7
  5. Srinivasan B, Ethunandan M, Markus A. Sensorineural hearing loss after dental extraction under general anesthesia: report of a case. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2008;66(9):1939-41. https://doi.org/10.1016/j.joms.2007.08.052
  6. Wilson RH, King R, Akin FW. Unilateral transitory sensorineural hearing loss following a dental procedure. Journal of the American Academy of Audiology. 2009;20(3):216-8. https://doi.org/10.3766/jaaa.20.3.8
  7. Farrell RW, Pemberton MN, Parker AJ, Buffin JT. Sudden deafness after dental surgery. BMJ (Clinical research ed). 1991;303(6809):1034. https://doi.org/10.1136/bmj.303.6809.1034
  8. Yilmaz HB, Erdogan RB, Paksoy M, Sanli A. Sudden hearing loss and vertigo after tooth extraction successfully treated with combined therapy including HBO2: a case report. Undersea & hyperbaric medicine : journal of the Undersea and Hyperbaric Medical Society, Inc. 2015;42(6):603-6.
  9. Wang Y, Cao JK, Yang HX, Feng J, Zhou QY, Ji F. Sudden sensorineural hearing loss (SSHL) following a local anesthetic dental procedure. Journal of otology. 2019;14(2):67-72. https://doi.org/10.1016/j.joto.2019.04.003
  10. Stachler RJ, Chandrasekhar SS, Archer SM, Rosenfeld RM, Schwartz SR, Barrs DM, et al. Clinical practice guideline: sudden hearing loss. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2012;146(3 Suppl):S1-35. https://doi.org/10.1177/0194599812436449
  11. Gao Y, Liu D. Combined intratympanic and systemic use of steroids for idiopathic sudden sensorineural hearing loss: a meta-analysis. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2016;273(11):3699-711.
  12. Kansu L, Yilmaz I. Sudden hearing loss after dental treatment. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 2013;71(8):1318-21. https://doi.org/10.1016/j.joms.2013.03.014
  13. Rothwell JA, Boyd PJ. Amalgam dental fillings and hearing loss. International journal of audiology. 2008;47(12):770-6. https://doi.org/10.1080/14992020802311224
  14. Theodoroff SM, Folmer RL. Hearing loss associated with long-term exposure to high-speed dental handpieces. General dentistry. 2015;63(3):71-6.