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[Tooth discoloration as a rare complication of septorhinoplasty]
P R Issing1, A Ernst, R Heermann
1Klinik für Hals-Nasen-Ohren-Heilkunde, Medizinische Hochschule Hannover.
Background:
Surgeons should thoroughly consider the clinical implications of elective surgery such as septorhinoplasty for functional and cosmetic improvement of the appearance of the nose. Complications may jeopardize the intended result of this surgery.
Case Report:
We report on the rare complication of devitalization of two incisors in the maxilla with disturbing discoloration after performing a septorhinoplasty in a 23-year-old woman. The patient underwent a serial hydrogen peroxide bleaching and a root canal procedure.
Conclusion:
The osteotomy of a huge basal crista that compromised neurovascular dental supply could be a possible mechanism of this event. Even though such a complication after septorhinoplasty is extremely rare, patients should be informed of this eventually prior to surgery, if only for legal reasons.