Determination of trigeminocardiac reflex during rhinoplasty

Basit Öğe Kaydı
dc.contributor.authorYorgancilar, E.
dc.contributor.authorGun, R.
dc.contributor.authorYildirim, M.
dc.contributor.authorBakir, S.
dc.contributor.authorAkkus, Z.
dc.contributor.authorTopcu, I.
dc.date.accessioned2024-04-24T16:14:54Z
dc.date.available2024-04-24T16:14:54Z
dc.date.issued2012
dc.departmentDicle Üniversitesien_US
dc.description.abstractIn most rhinoplasty procedures, osteotomies are usually required. The osteotomy areas are innervated by sensory branches of the trigeminal nerve. The trigeminocardiac reflex (TCR) is clinically defined as the sudden onset of parasympathetic activity during stimulation of the trigeminal nerve. When an osteotomy is performed or external pressure is applied over the nasal bone, the infraorbital nerve may send signals via this nerve. The aim of this prospective study is to determine the blood pressure changes and occurrence of TCR during rhinoplasty. one hundred and eight patients were enrolled into the study. Lidocaine and adrenaline combination (LAC) was injected only into the left lateral osteotomy sites. All patients underwent median, right-side, then left-side lateral osteotomies and nasal pyramid infracture. The haemodynamic changes were recorded. A 10% or more decrease in the heart rate from baseline was considered a TCR. TCR was detected in nine patients following lateral osteotomies and nasal pyramid infracture procedures (8.3%). The authors determined that LAC injection prior to osteotomy did not prevent TCR. Manipulation at or near the infraorbital nerve during rhinoplasty may cause TCR, even if local anaesthetic infiltration is used.en_US
dc.identifier.doi10.1016/j.ijom.2011.12.025
dc.identifier.endpage393en_US
dc.identifier.issn0901-5027
dc.identifier.issn1399-0020
dc.identifier.issue3en_US
dc.identifier.pmid22240287
dc.identifier.scopus2-s2.0-84858159485
dc.identifier.scopusqualityQ1
dc.identifier.startpage389en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijom.2011.12.025
dc.identifier.urihttps://hdl.handle.net/11468/15506
dc.identifier.volume41en_US
dc.identifier.wosWOS:000302506100022
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherChurchill Livingstoneen_US
dc.relation.ispartofInternational Journal of Oral and Maxillofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRhinoplastyen_US
dc.subjectTrigeminocardiacen_US
dc.subjectReflexen_US
dc.subjectOsteotomyen_US
dc.subjectNasal Boneen_US
dc.subjectInfractureen_US
dc.titleDetermination of trigeminocardiac reflex during rhinoplastyen_US
dc.titleDetermination of trigeminocardiac reflex during rhinoplasty
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu