Incidence of penetration of a blood vessel during inferior alveolar nerve block

Frangiskos, F; Stavrou, E.; Merenditis, N; Tsitsogianis, H; Vardas, Emmanouil; Antonopoulou, Ioanna

doi:10.1016/s0266-4356(03)00045-7

Cited by 24 publications

(12 citation statements)

References 2 publications

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“…Furthermore, the complications associated with injection technique are more with IANB. During injection, the proximity of the needle to the neurovascular bundle frequently results in complications such as hematoma,[ 24 25 ] paresthesia,[ 26 ] intravascular injection (incidence 15%– 20%),[ 27 28 ] and trismus. [ 25 ] This study has compared the incidence of paresthesia, loss of taste sensation, and trismus following both IANB and exclusive LNB.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia

Balasubramanian

Paneerselvam

Guruprasad

et al. 2017

Ann Maxillofac Surg

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Objective:The aim of this randomized clinical trial was to assess the efficacy of exclusive lingual nerve block (LNB) in achieving selective lingual soft-tissue anesthesia in comparison with conventional inferior alveolar nerve block (IANB).Materials and Methods:A total of 200 patients indicated for the extraction of lower premolars were recruited for the study. The samples were allocated by randomization into control and study groups. Lingual soft-tissue anesthesia was achieved by IANB and exclusive LNB in the control and study group, respectively. The primary outcome variable studied was anesthesia of ipsilateral lingual mucoperiosteum, floor of mouth and tongue. The secondary variables assessed were (1) taste sensation immediately following administration of local anesthesia and (2) mouth opening and lingual nerve paresthesia on the first postoperative day.Results:Data analysis for descriptive and inferential statistics was performed using SPSS (IBM SPSS Statistics for Windows, Version 22.0, Armonk, NY: IBM Corp. Released 2013) and a P < 0.05 was considered statistically significant. In comparison with the control group, the study group (LNB) showed statistically significant anesthesia of the lingual gingiva of incisors, molars, anterior floor of the mouth, and anterior tongue.Conclusion:Exclusive LNB is superior to IAN nerve block in achieving selective anesthesia of lingual soft tissues. It is technically simple and associated with minimal complications as compared to IAN block.

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Section: Discussionmentioning

confidence: 99%

Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia

Balasubramanian

Paneerselvam

Guruprasad

et al. 2017

Ann Maxillofac Surg

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“…Blocking the IAN is one of the most frequently used anaesthetic techniques in dentistry. It is also the technique with the highest intravascular injection probability for up to 20% of cases concerned (Frangiskos et al, 2003;Malamed, 2006). Any variation in the origin or path of the IAA may predispose a patient to higher morbidity during mandibular block anesthesia and invasive procedures in that region.…”

Section: Discussionmentioning

confidence: 99%

Unilateral Variation in the Origin of the Inferior Alveolar and Buccal Arteries: A Case Report

et al. 2011

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SUMMARY:The maxillary artery (MA) is one of the terminal branches of the external carotid artery (ECA) and is located in the infratemporal fossa (IF). Some of the branches in this region are the inferior alveolar artery (IAA) and the buccal artery (BA), both descending branches. Here, we report an unusual unilateral origin of the IAA and the BA from a common trunk directly from the ECA. We conducted a routine dissection of both IF in a 54-year-old hispanic male cadaver. Fixed with Universidad de los Andes® conservative solution and red latex for vascular filling. On each side, the MA is observed superficially located over the lateral pterygoid muscle. On the right side, the IAA and the BA originate from a common trunk from the ECA approximately 5 mm prior to the bifurcation into their terminal branches. On the left side, the IAA originates from the MA that is immediately next to its origin, making a common trunk with the pterygoid branches. Knowing the morphology of the MA and its branches at the IF is important for oral and maxillofacial surgery procedures; and any variation in the origin or course of these arteries may result in the patient's increased morbidity during some invasive procedure in the area.

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“…Frangiskos et al reported arterial penetration during mandibular block in up to 20% of cases. [7] The infratemporal fossa is a complex region on the skull base that is affected by benign and malignant tumors. This type of anatomical knowledge is essential in choosing the best approach to treat lesions in this area.…”

Section: Discussionmentioning

confidence: 99%

Unique presentation of maxillary artery, lingual nerve, and inferior alveolar nerve complex

Daimi

Siddiqui

Vyas

et al. 2011

Int J App Basic Med Res

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Knowledge of variations in arteries and nerves of infratemporal fossa may be helpful in radical neck dissection and in dental procedures to avoid the complications. We present an unusual case in which maxillary artery was found deep (medial) to lateral pterygoid muscle. Lingual nerve originated from two roots: anterior and posterior. Anterior root originated from common trunk and the posterior root directly from mandibular nerve. Inferior alveolar nerve was a continuation of the common trunk. Branches of mandibular nerve formed a loop through which passed the second part of maxillary artery. The clinical significance of the present variations has been discussed.

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Incidence of penetration of a blood vessel during inferior alveolar nerve block

Cited by 24 publications

References 2 publications

Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia

Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia

Unilateral Variation in the Origin of the Inferior Alveolar and Buccal Arteries: A Case Report

Unique presentation of maxillary artery, lingual nerve, and inferior alveolar nerve complex

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