Emploi des vasoconstricteurs en odonto-stomatologie

Madrid, Carlos; Courtois, B; Vironneau, Marc; Bayssière, Jacques; Bernard, Jean Pierre; Coudert, J; Duran, Damien; Féki, Ahmed; Fricain, Jean-Christophe; Girard, Patrick; Harnet, Jean Claude; Jeandot, Jacques; Lefèvre, Benoît; Longrois, Dan; Maman, Louis; Mello, Gilbert De; Penel, Guillaume; Prédine-Hug, François; Roche, Yvon; Samson, Jacky; Torres, JH; Viennet, Daniel

doi:10.1051/mbcb/2003008

Cited by 10 publications

(4 citation statements)

References 2 publications

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“…This duration of action can be increased by combining it with a vasoconstrictor agent (epinephrine, norepinephrine, etc. ), this combination also allows the systemic passage of the anesthetic product to be reduced as well as intraoperative bleeding [ 6 , 10 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Locoregional anesthesia for removal osteosynthesis hardware from healed corpus mandibularis fractures: A descriptive study of a series of 40 cases

Aloua

Kerdoud

Kaouani

et al. 2021

Annals of Medicine &Amp; Surgery

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Introduction Locoregional anesthesia represents a very interesting modality for the removal of osteosynthesis hardware of the corpus mandibularis. Several procedures have been described, but each is dedicated to a single mandibular segment. Material and methods The surgical records of 40 patients treated with rigid internal fixation after maxillofacial traumas were reviewed. Study variables included age, sex, site and number of plates, time of plate removal, reasons for plate removal, and postoperative. Results Our study enrolled 40 patients, 45% of whom had single-focal plate placement and 55% of whom had bifocal plate placement. 66% of the patients with bifocal plate placement had the plates removed during the same operation. The average operative time was 45 min for bifocal and 28 min for single-focal approaches. Postoperative complications were observed only for the truncal analgesia procedure of the inferior alveolar nerve at the mandibular foramen. Anesthesia failure was reported in 2 patients. Discussion Various locoregional anesthetic procedures are used to remove mandibular body plates but each has its indication depending on the mandibular segment being treated. Factors that can lead to failure of locoregional anesthesia are dominated by the state of inflammation at the site and patient anxiety which can be minimized by premedication with anxiolytics. Conclusion Locoregional anesthesia for removal of osteosynthesis hardware of the corpus mandibularis remains a good anesthetic method that is performed in good conditions when it is done in compliance with standards. Its use avoids the usual risks and complications that can occur under general anesthesia.

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Section: Discussionmentioning

confidence: 99%

Locoregional anesthesia for removal osteosynthesis hardware from healed corpus mandibularis fractures: A descriptive study of a series of 40 cases

Aloua

Kerdoud

Kaouani

et al. 2021

Annals of Medicine &Amp; Surgery

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“…In a study of 1240 patients, only 0.2% of allergic shocks could be attributed to LA [28]. It is principally contraindicated to administer vasoconstrictors to patients with pheochromocytomas [4]. Vasoconstrictors are banned at least 24 h after cocaine use to eliminate the drug and its active metabolites.…”

Section: Discussionmentioning

confidence: 99%

“…LA vasoconstrictor solutions are used in oral surgery to reduce dispersion of LA in the vascular system which in turn reduces their systemic toxicity and prolongs their action. The vasoconstrictor can contribute to the surgeon's comfort during surgery by locally decreasing the bleeding [4], thus facilitating the surgical procedure and reducing its duration. Thus, the reasons given to justify the addition of LA are the following: increased operative comfort by the ensuing reduction of bleeding in the operative site, easier handling in soft tissue distension [5], and reduced pain for patients post-operatively.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the reasons given to justify the addition of LA are the following: increased operative comfort by the ensuing reduction of bleeding in the operative site, easier handling in soft tissue distension [5], and reduced pain for patients post-operatively. This practice also permits lower systemic additions of analgesic products pre-and post-operatively [4,6]. Those who are opposed to this practice argue that the use of LA products only increases the operating time, increases the probability of a toxic and/or allergic incident, and may alter the heart rate during the procedure.…”

Section: Introductionmentioning

confidence: 99%

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Pilot study in France about the infiltration of local anaesthetics associated to oral surgery procedures performed under general anaesthesia

Verbizier

Denis²,

Sahar³

et al. 2019

J Oral Med Oral Surg

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Introduction: Opinions differ regarding the combined use of local anaesthesia (LA) and general anaesthesia (GA) in oral surgery procedures. The aim of this study was to evaluate practices in France concerning intraoperative LA for oral surgery performed under GA. Practitioners and method: We conducted a prospective survey of 250 oral surgery practitioners (CNIL-2045135v0 e) and carried out a literature review with the MEDLINE search engine (PubMed) covering the period from January 2000 to September 2017. Results: Among the 77 practitioners who participated, 88.3% were dental practitioners, the majority of whom were in the 25–34-yr age group. More than half (59%) infiltrated the surgical site; 46% pre-operatively, 24% intraoperatively and 11% post-operatively. Discussion: LA under GA appears to have advantages for post-operative pain management, dissection of the first mucosal plane and bleeding management pre- and post-operatively. The contraindications remain the same as for patients in a vigilant state. In children, it should be used in moderation to limit the risk of self-inflicted lip or mouth trauma during recovery. Conclusion: The indications of LA under GA are operator-dependent and the analysis of the literature did not allow us to determine the interest or not of LA administered intraoperatively during oral surgery performed under GA.

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Hypertension artérielle

Roche¹

2010

Risques Médicaux Au Cabinet Dentaire en Pratique Quotidienne

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Emploi des vasoconstricteurs en odonto-stomatologie

Cited by 10 publications

References 2 publications

Locoregional anesthesia for removal osteosynthesis hardware from healed corpus mandibularis fractures: A descriptive study of a series of 40 cases

Locoregional anesthesia for removal osteosynthesis hardware from healed corpus mandibularis fractures: A descriptive study of a series of 40 cases

Pilot study in France about the infiltration of local anaesthetics associated to oral surgery procedures performed under general anaesthesia

Hypertension artérielle

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