Oculocardiac reflex: an unusual trigger during dental surgery.

Area of Science:

• Cardiology
• Neurology
• Surgical Procedures

Background:

• The oculocardiac reflex is a known trigeminal-vagal reflex.
• It commonly causes cardiac arrhythmias, particularly bradycardia.
• Triggers include manipulation of periorbital structures and pressure on the eye during maxillofacial procedures.

Purpose of the Study:

• To describe an uncommon trigger of the oculocardiac reflex during maxillofacial surgery.
• To report a case of severe bradycardia resulting from this reflex.
• To emphasize the importance of surgical technique and device management.

Main Methods:

• Case report detailing an unusual instance of the oculocardiac reflex.
• Description of the specific surgical context and trigger.
• Review of the patient's cardiac response.

Main Results:

• An unusual trigger of the oculocardiac reflex was identified during maxillofacial surgery.
• The event led to severe bradycardia.
• The case underscores potential risks associated with medical device securement and surgical manipulation.

Conclusions:

• Careful securement of medical devices is essential in maxillofacial surgery.
• Attention to surgical technique is vital to prevent inadvertent pressure.
• These measures can help mitigate the risk of triggering the oculocardiac reflex and subsequent bradycardia.