Septal infiltrasyon anestezisine bağlı Diplopi: İki olgu sunumu

Bu yazıda septoplasti ameliyatı sırasındaki lokal septal infiltrasyon anestezisine bağlı gelişen iki geçici diplopi olgusu tanımlandı. Her iki diplopi olgusu da herhangi bir tedavi gerektirmeden iyileşti. Her ne kadar bizim olgularımızdaki diplopi kalıcı olmadıysa da, anestezik madde enjekte edildiğinde arter veya venlere enjeksi- yon yapılmamasına özel dikkat gösterilmelidir

Diplopia secondary to septal infiltration anesthesia: two cases

We describe two temporary diplopia cases secondary to local septal infiltration anesthesia during septoplasty operation. Both of the diplopia cases resolved without any treatment. Although diplopia was not refractory in our cases, when injecting anesthetics, special care must be taken to avoid injection either into the artery or to the vein.

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  • Brain DJ. The nasal septum. In: Mackay IS, Bull TR, editors. Scott-Brown’s otolaryngology: rhinology. London: Butterworths-Heinemann; 1997. p. 1-27
  • D’Souza MG, Hadzic A, Wider T. Unilateral mydria- sis after nasal reconstruction surgery. Can J Anaesth 2000;47:1119-21.
  • Peñarrocha-Diago M, Sanchis-Bielsa JM. Ophthalmologic complications after intraoral local anesthesia with articaine. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;90:21-4.
  • Scott JK, Moxham BJ, Downie IP. Upper lip blanching and diplopia associated with local anaesthesia of the inferior alveolar nerve. Br Dent J 2007;202:32-3.
  • Dogan EA, Dora B. Transient partial ophthalmoplegia and Horner’s syndrome after intraoral local anesthe- sia. J Clin Neurosci 2005;12:696-7.
  • Egan R, Rizzo JF 3rd. Neuroophthalmological com- plications of ocular surgery. Int Ophthalmol Clin 2000;40:93-105.
  • Kim HD, Lim SC. Transient abducens nerve palsy dur- ing endoscopic sinus surgery: report of three cases. Auris Nasus Larynx 2007;34:237-9.
  • Costa PG, Debert I, Passos LB, Polati M. Persistent diplo- pia and strabismus after cataract surgery under local anesthesia. Binocul Vis Strabismus Q 2006;21:155-8.
  • Walker M, Drangsholt M, Czartoski TJ, Longstreth WT Jr. Dental diplopia with transient abducens palsy. Neurology 2004;63:2449-50.