Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity.
10.5125/jkaoms.2017.43.5.351
- Author:
Karun AGGARWAL
1
;
Sanjay RASTOGI
;
Atul JOSHI
;
Ashish KUMAR
;
Archana CHAURASIA
;
Rajat PRAKASH
Author Information
1. Department of Oral and Maxillofacial Surgery, Jodhpur Dental College and Hospital, Jodhpur, India.
- Publication Type:Case Report
- Keywords:
Tooth extraction;
Infection;
Cavernous sinus thrombosis;
Chemosis;
Unregistered dental practitioner
- MeSH:
Adult;
Anti-Bacterial Agents;
Anti-Infective Agents;
Cavernous Sinus Thrombosis*;
Cavernous Sinus*;
Dilatation;
Diplopia;
Drainage;
Early Diagnosis;
Ecchymosis;
Emergency Service, Hospital;
Female;
Health Education, Dental;
Heparin;
Humans;
Mortality;
Rare Diseases;
Tooth Extraction;
Veins
- From:Journal of the Korean Association of Oral and Maxillofacial Surgeons
2017;43(5):351-355
- CountryRepublic of Korea
- Language:English
-
Abstract:
Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. The patient presented with diplopia, periorbital ecchymosis, and chemosis of the right eye. A computed tomography scan revealed venous dilatation of the right superior ophthalmic vein. The patient was immediately treated with incision and drainage, intravenous antibiotics, and heparin (low molecular weight). Unfortunately, the patient died two days after surgery due to complications from the disease. CST is a rare disease with a high mortality rate. Therefore, dental health education in rural areas, legal action against unregistered dental practitioners, early diagnosis, and aggressive antibiotic treatment can prevent future mortality resulting from CST.
