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논문 기본 정보

자료유형
학술저널
저자정보
김형기 (의무사령부) 김일형 (분당서울대학교병원) 구정귀 (의무사령부) 노민호 (의무사령부)
저널정보
대한치과의사협회 대한치과의사협회지 대한치과의사협회지 Vol.58 No.7(Wn.613)
발행연도
2020.6
수록면
404 - 411 (8page)

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초록· 키워드

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This study reports the unusual complications of 22-year-old male who presented with sudden hearing loss after the right mandibular third molar extraction under local anesthesia with 3.6 ml of 2 % lidocaine. Total 8.75 ㎎ of oral dexamethasone for 1 week immediately after extraction was prescribed in department of oral and maxillofacial surgery but hearing did not improve after 1 week. As referral to otolaryngology, total 600 ㎎ of oral methylon and hyperbaric oxygen therapies were operated for 2 weeks. The hearing of patient was improved at 6 weeks after extraction but tinnitus was persisted even after 12 months.
The reason and treatment were discussed with literature review, searching with the keywords [‘hearing loss’ AND (‘dental’ OR ‘tooth extraction’OR‘teeth extraction’)] in PubMed and Google scholar at October 2019. Total five cases were reported after tooth extraction with local anesthesia. The sudden hearing loss could be associated with local anesthesia containing vasoconstrictors. Early steroid (extensive medication and intra-tympanic injection) and hyperbaric oxygen therapies were recommended within 2 weeks. As a proper treatment, hearing could be improved but other additional symptoms, such as tinnitus, dizziness, might be remained.

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ABSTRACT
Ⅰ. 서론
Ⅱ. 증례보고
Ⅲ. 문헌검색
Ⅴ. 고찰 및 결론
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