RESUMO
Trismus is defined as a tonic contraction of the muscles of mastication. It can also refer to limited mouth opening of any cause. Trismus is a classical symptom of masticatory space infections and it can be a sign of an infection in the anterior compartment of lateral pharyngeal space. Common causes in clinical practice followed by trismus are odontogenic infection which can be periodontal or pericoronal. This article will present a clinical report on intraoral management of mandibular odontogenic infection accompanied by severe trismus under local anesthesia using modified Akinosi technique in an outpatient environment. Treatment and postoperative period were routine. This kind of approach provides access to the infection at an early stage without general anesthesia, it shortens the hospital treatment and it enables faster recovery. KEY WORDS: Local Anesthesia, Odontogenic infection, Trismus.
Assuntos
Anestesia Local , Antibacterianos/uso terapêutico , Doenças Estomatognáticas/tratamento farmacológico , Doenças Estomatognáticas/cirurgia , Trismo , Adulto , Anestesia Local/métodos , Humanos , Masculino , Boca , Doenças Estomatognáticas/complicações , Doenças Dentárias/tratamento farmacológico , Doenças Dentárias/cirurgia , Raiz Dentária/cirurgia , Trismo/etiologia , Trismo/terapiaRESUMO
Septoplasty is usually performed under general anesthesia or local anesthesia with sedation. Nevertheless, septoplasty under pure local anesthesia is also feasible and it shows a great potential for fast-track surgery. This article presents a patient with nasal septal deviation where septoplasty was managed under local anesthesia at an outpatient clinic. Treatment and postoperative period were routine. Septoplasty under local anesthesia showed a great potential in adequately selected patient.
Assuntos
Anestesia Local , Obstrução Nasal/cirurgia , Septo Nasal/cirurgia , Rinoplastia , Adulto , Humanos , Masculino , Obstrução Nasal/etiologia , Período Pós-OperatórioRESUMO
The value of local anesthesia (LA) is widely recognized in oral and maxillofacial surgery. Many procedures can be performed with the use of local anesthetic alone, instilled at or near the site of surgery.The author presents a patient with neck tumor, where the tumor removal was managed under LA at outpatient clinic. Treatment and postoperative period was routine.Neck surgery under LA in outpatient environment shows a great potential in adequately selected patients.