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KMID : 0355620210470040335
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Journal of Korean Association of Oral and Maxillofacial Surgeons
2021 Volume.47 No. 4 p.335 ~ p.336
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Oculocardiac reflex: an unusual trigger during dental surgery
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Arora Vivek
Lee Alex
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Abstract
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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.
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KEYWORD
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Nasotracheal tube, Bradycardia, Oculocardiac reflex
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