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KMID : 0362720200580070404
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Journal of the Korean Dental Association
2020 Volume.58 No. 7 p.404 ~ p.411
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Sudden sensorineural hearing loss after third molar extraction: Case report and literature review
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Kim Hyung-Ki
Kim Il-Hyung
Ku Jeong-Kui
Noh Min-Ho
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Abstract
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This study reports the unusual complications of 22-year-old male who presented with sudden hearing loss after the right mandibular third molar extraction under local anesthesia with 3.6 ml of 2 % lidocaine. Total 8.75 mg of oral dexamethasone for 1 week immediately after extraction was prescribed in department of oral and maxillofacial surgery but hearing did not improve after 1 week. As referral to otolaryngology, total 600 mg of oral methylon and hyperbaric oxygen therapies were operated for 2 weeks. The hearing of patient was improved at 6 weeks after extraction but tinnitus was persisted even after 12 months. The reason and treatment were discussed with literature review, searching with the keywords [‘hearing loss’ AND (‘dental’ OR ‘tooth extraction’OR‘teeth extraction’)] in PubMed and Google scholar at October 2019. Total five cases were reported after tooth extraction with local anesthesia. The sudden hearing loss could be associated with local anesthesia containing vasoconstrictors. Early steroid (extensive medication and intra-tympanic injection) and hyperbaric oxygen therapies were recommended within 2 weeks. As a proper treatment, hearing could be improved but other additional symptoms, such as tinnitus, dizziness, might be remained.
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KEYWORD
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Complication, Extraction, Sudden hearing loss, Impacted tooth, Third molar
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