Journal of the Korean Association of Oral and Maxillofacial Surgeons
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ISSN : 2234-7550
Oculocardiac reflex: an unusual trigger during dental surgery
Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2021, v.47 no.4, pp.335-336
https://doi.org/10.5125/jkaoms.2021.47.4.335
Arora Vivek (University of Washington)
Lee Alex (University of Washington)
Lee Alex (University of Washington)
Arora,
V.
, &
Lee,
A.
(2021). Oculocardiac reflex: an unusual trigger during dental surgery. Journal of the Korean Association of Oral and Maxillofacial Surgeons, 47(4), 335-336, https://doi.org/10.5125/jkaoms.2021.47.4.335
Abstract
The oculocardiac reflex is a trigeminal-vagal reflex that manifests as cardiac arrythmias, most often bradycardia. The reflex can be triggered by manipulation of periorbital structures and unintended pressure on the bulbus oculi maxillofacial procedures. In this brief communication, we describe an unusual trigger of the oculocardiac reflex during maxillofacial surgery that resulted in severe bradycardia. This case highlights the need for careful securement of medical devices and attention to surgical technique to avoid undue pressure on draped fascial structures.
- keywords
- Nasotracheal tube, Bradycardia, Oculocardiac reflex
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