RESUMO
Maxillary nerve blockade is not commonly used by general practitioners due to a lack of experience with the techniques involved and the fear of iatrogenic damage. Nevertheless, it represents an excellent method of producing profound anesthesia in the maxilla, with definite indications in selected instances. The anatomy and techniques associated with the maxillary block, as well as the indications, contraindications and complications are reviewed, and the use of the greater palatine foramen approach to treat a patient with a facial abscess is described.
Assuntos
Anestesia Dentária/métodos , Nervo Maxilar , Bloqueio Nervoso/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Abscesso Periapical/cirurgia , Extração DentáriaRESUMO
Odontogenic keratocysts arising in the maxilla are relatively uncommon, small unilocular lesions that rarely involve the maxillary sinus. This paper reviews the clinical, radiologic and histologic features of an extensive maxillary odontogenic keratocyst involving the maxillary sinus, and the complications associated with its management. The authors emphasize the importance of regular patient follow-up examinations and imaging studies in order to detect and treat recurrent lesions when they are small and well-localized.
