Oculocardiac Reflex in a Patient With Maxillofacial Trauma: A Case Study and Literature Review

被引:0
作者
Kharia, Ayush [1 ]
Rao, Srerama Janardhana [2 ]
Dubey, Vertika [3 ]
Bhatt, Sumit [4 ]
Bhatt, Drishti [5 ]
Baig, Fawaz [6 ]
机构
[1] Peoples Coll Dent Sci & Res Ctr, Dept Oral & Maxillofacial Surg, Bhopal, India
[2] Govt Med Coll, Dept Dent Surg, Srikakulam, India
[3] Private Dent Clin, Dept Oral & Maxillofacial Surg, Bhopal, India
[4] Rajasthan Dent Coll & Hosp, Dept Oral & Maxillofacial Surg, Jaipur, India
[5] Divya Jyoti Coll Dent Sci & Res Ctr, Dept Oral & Maxillofacial Surg, Modinagar, India
[6] King Khalid Univ, Coll Dent, Dept Oral & Maxillofacial Surg, Abha, Saudi Arabia
关键词
atropine; asystole; bradycardia; surgery; maxillofacial trauma; occulocardiac reflex (ocr); TRIGEMINOCARDIAC REFLEX; FRACTURE; MANAGEMENT;
D O I
10.7759/cureus.59528
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Oculocardiac reflex (OCR), presenting as bradycardia and asystole, is a potential intraoperative complication that may occur during maxillofacial trauma surgery. Bradycardia is the most common symptom of this phenomenon. Surgeons should be aware of its long-term effects, such as arrhythmias and even cardiac arrest. We report the case of a 40 -year -old male patient with a fracture of the floor of the orbit. During a surgical exploration of the orbital floor, the patient exhibited sudden symptoms of OCR. It was managed by withholding the surgery and administering atropine. The article also highlights the mechanism, types, incidence, and management of OCR in patients with maxillofacial trauma.
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页数:5
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