Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report

Introduction Facial nerve palsy is a rare, but known complication resulting from local anaesthesia (LA) infiltration during dental surgery. Its incidence is reported to be 1–1.1%, with short or long-term effects. Case Report A 6 years old well child underwent elective dental rehabilitation under gen...

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Main Authors: Melody Huiyi Long, Melissa Mei-Yi Khor, Satish Kumar Reddy Challa
Format: Article
Language:English
Published: SAGE Publishing 2022-06-01
Series:Proceedings of Singapore Healthcare
Online Access:https://doi.org/10.1177/20101058221111663
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author Melody Huiyi Long
Melissa Mei-Yi Khor
Satish Kumar Reddy Challa
author_facet Melody Huiyi Long
Melissa Mei-Yi Khor
Satish Kumar Reddy Challa
author_sort Melody Huiyi Long
collection DOAJ
description Introduction Facial nerve palsy is a rare, but known complication resulting from local anaesthesia (LA) infiltration during dental surgery. Its incidence is reported to be 1–1.1%, with short or long-term effects. Case Report A 6 years old well child underwent elective dental rehabilitation under general anaesthesia. For extractions, he received LA infiltration to the anterior part of the hard palate. In the immediate post-operative period, he presented with left sided facial droop and uvula deviation to the left with no hoarseness of voice or ptosis. His neurological symptoms resolved within 3 h of the administration of LA. He was reviewed on the same day by the paediatric neurologist. No further investigations were required. He was discharged well the next day. Conclusion Transient facial nerve palsy and uvula deviation, while rare, can occur after a dental procedure. For paediatric patients, the neurologist’s input helps with parental assurance.
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spelling doaj.art-109bdd29ce804b9080e66e425cdbc42d2022-12-22T00:24:43ZengSAGE PublishingProceedings of Singapore Healthcare2059-23292022-06-013110.1177/20101058221111663Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case reportMelody Huiyi LongMelissa Mei-Yi KhorSatish Kumar Reddy ChallaIntroduction Facial nerve palsy is a rare, but known complication resulting from local anaesthesia (LA) infiltration during dental surgery. Its incidence is reported to be 1–1.1%, with short or long-term effects. Case Report A 6 years old well child underwent elective dental rehabilitation under general anaesthesia. For extractions, he received LA infiltration to the anterior part of the hard palate. In the immediate post-operative period, he presented with left sided facial droop and uvula deviation to the left with no hoarseness of voice or ptosis. His neurological symptoms resolved within 3 h of the administration of LA. He was reviewed on the same day by the paediatric neurologist. No further investigations were required. He was discharged well the next day. Conclusion Transient facial nerve palsy and uvula deviation, while rare, can occur after a dental procedure. For paediatric patients, the neurologist’s input helps with parental assurance.https://doi.org/10.1177/20101058221111663
spellingShingle Melody Huiyi Long
Melissa Mei-Yi Khor
Satish Kumar Reddy Challa
Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
Proceedings of Singapore Healthcare
title Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
title_full Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
title_fullStr Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
title_full_unstemmed Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
title_short Concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation–A case report
title_sort concurrent facial nerve palsy and uvula deviation after paediatric dental rehabilitation a case report
url https://doi.org/10.1177/20101058221111663
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AT satishkumarreddychalla concurrentfacialnervepalsyanduvuladeviationafterpaediatricdentalrehabilitationacasereport