Journal of the Korean Association of Oral and Maxillofacial Surgeons
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- P-ISSN2234-7550
- E-ISSN2234-5930
- SCOPUS, KCI, ESCI
ISSN : 2234-7550
Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity
Sanjay Rastogi (Kothiwal Dental College and Research Center)
Atul Joshi (Institute of Dental Sciences, Bareilly)
Ashish Kumar (BJS Dental College and Research Center)
Archana Chaurasia (Institute of Dental Sciences, Bareilly)
Rajat Prakash (Institute of Dental Sciences, Bareilly)
Abstract
Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. The patient presented with diplopia, periorbital ec-chymosis, and chemosis of the right eye. A computed tomography scan revealed venous dilatation of the right superior ophthalmic vein. The patient was immediately treated with incision and drainage, intravenous antibiotics, and heparin (low molecular weight). Unfortunately, the patient died two days after surgery due to complications from the disease. CST is a rare disease with a high mortality rate. Therefore, dental health education in rural areas, legal action against unregistered dental practitioners, early diagnosis, and aggressive antibiotic treatment can prevent future mortality resulting from CST.
- keywords
- Tooth extraction, Infection, Cavernous sinus thrombosis, Chemosis, Unregistered dental practitioner
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