Mental nerve injury following facemask anaesthesia

Bhuiyan, Md. Shahidur Rashid; Chapman, M.

doi:10.1111/j.1365-2044.2006.04637.x

Cited by 5 publications

(9 citation statements)

References 1 publication

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“…In prior cases reported, patients did not have any underlying disease [ 5 – 7 ]; however, in this case, the patient was diabetic. Diabetes mellitus is known to be a risk factor for peripheral nerve injury, along with hypertension and smoking history [ 8 ].…”

Section: Discussionmentioning

confidence: 69%

“…Compression can lead to mechanical deformity or ischemic injury of the nerve. Cases of mental nerve injury followed by extended face mask time of more than 30 min [ 5 ], a tight seal of mask due to difficult airway [ 6 ], or compression of adjuvant tissue by oropharyngeal airway [ 7 ] support this hypothesis. However, in our case, the patient was easily ventilated, and there was no excessive pressure on the face during mask ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…Half of the patients had complaints of inconvenience in daily life, such as drooling from the mouth. However, no specific treatment was required in these cases and they completely recovered within 2 to 6 weeks [ 5 – 7 ]. In our case, the numbness of the lower lip resolved spontaneously after 6 weeks.…”

Section: Discussionmentioning

confidence: 99%

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Numbness of the lower lip following urological surgery under general anesthesia – A case report –

et al. 2021

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Background: Peripheral nerve injury is a complication that can occur after general anesthesia. It significantly impairs the patient’s quality of life and may lead to permanent disability. Nerves in several areas can be damaged during the perioperative period, but it is very rare that numbness of the lower lip is caused after general anesthesia. Case: A 73-year-old man with diabetes mellitus underwent urological surgery under general anesthesia. The day after surgery, he complained of numbness on the right lower lip caused by a mental nerve injury. Diabetic mononeuropathy or neurapraxia related to mechanical compression was considered a possible cause. The symptoms resolved spontaneously after six weeks.Conclusions: Mental nerve injury is a rare perioperative complication in surgical patients under general anesthesia. In this case, patients should be reassured and advised to avoid injuries to the mouth and lips. However, specific treatment is not required.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

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Numbness of the lower lip following urological surgery under general anesthesia – A case report –

et al. 2021

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“…The majority of cases were associated with long duration of mask ventilation and/or difficult mask ventilation. 2 , 3 , 4 , 5 , 6 , 7 However, cases with easy ventilation and short duration were also reported. 1 , 8 , 9 Although digital pressure is frequently applied to the facemask and/or the mandible to relieve airway obstruction during mask ventilation in anesthesia practice, the reported cases of nerve injury are infrequent.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of cases reported have been associated with excessive pressure applied to the face mask, long duration of mask ventilation, excessive digital pressure behind the mandible to relieve airway obstruction and pressure exerted by the plastic oropharyngeal airway. 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 However, there is little knowledge about the relationship between nerve injury and the type of the facemask or the amount of air in its cushion.…”

Section: Introductionmentioning

confidence: 99%