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A cosmetic complication after supraorbital/supratrochlear nerve block
1Department of Anesthesiology and Reanimation, Başkent University Faculty of Medicine, Ankara, Türkiye.
Summary
A cosmetic complication occurred after a bilateral supraorbital and supratrochlear nerve block. This case highlights potential risks associated with local anesthetic and dexamethasone combinations in aesthetic procedures.
Area of Science:
- Anesthesiology
- Cosmetic Surgery
- Ophthalmology
Background:
- Nerve blocks are frequently used in cosmetic and ophthalmic procedures.
- Combinations of local anesthetics and corticosteroids like dexamethasone aim to prolong block duration and reduce inflammation.
- Potential complications, though rare, require careful consideration.
Purpose of the Study:
- To present a case of a cosmetic complication following a specific nerve block.
- To discuss the etiology and management of this adverse event.
- To raise awareness among practitioners regarding potential risks.
Main Methods:
- A case report detailing a patient who developed a complication post-procedure.
- Review of relevant literature on supraorbital and supratrochlear nerve blocks.
- Analysis of the anesthetic and corticosteroid agents used.
Main Results:
- The patient experienced a cosmetic complication attributed to the bilateral supraorbital and supratrochlear nerve block.
- The complication was associated with the combination of a low-dose local anesthetic and dexamethasone.
- The specific nature and resolution of the complication are detailed.
Conclusions:
- Bilateral supraorbital and supratrochlear nerve blocks, even with low-dose agents, can lead to cosmetic complications.
- Careful patient selection and awareness of potential adverse effects are crucial.
- Further investigation into the safety profile of such combinations may be warranted.
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