Peripheral facial nerve paralysis after upper third molar extraction

ÇAKARER S., Can T., Cankaya B., ERDEM M. A., Yazici S., Ayintap E., ...More

Journal of Craniofacial Surgery, vol.21, no.6, pp.1825-1827, 2010 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Abstract
  • Volume: 21 Issue: 6
  • Publication Date: 2010
  • Doi Number: 10.1097/scs.0b013e3181f43dcf
  • Journal Name: Journal of Craniofacial Surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1825-1827
  • Keywords: Bell palsy, local anesthesia, Peripheral facial nerve paralysis, third molar
  • Hatay Mustafa Kemal University Affiliated: Yes

Abstract

Peripheral facial nerve paralysis (PFNP) after mandibular interventions has been reported in the literature. In most cases, paralysis begins immediately after the injection of the mandibular anesthesia, and duration of facial weakness is less than 12 hours. However, there are few documented cases of PFNP after maxillary dental or surgical procedures.A variety of mechanisms have been associated to PFNP, including viral reactivation, demyelination, edema, vasospasm, and trauma. The purpose of this presentation was to report a rare case of facial paralysis that occurred after an upper third molar extraction. The cause of the PFNP and the importance of the multidisciplinary approach in the management are emphasized. Copyright © 2010 by Mutaz B. Habal, MD.