Abstract

Introduction Lagopthalmos is inability to close the eyelid, which is one of the symptoms of Facial Palsy (FP), ranging from mild to complete form [1]. This condition may be caused by a lot of factors, such as trauma, infection, and tumor, including iatrogenic trauma by a clinician in the form of

Highlights

  • Lagopthalmos is inability to close the eyelid, which is one of the symptoms of Facial Palsy (FP), ranging from mild to complete form [1]. This condition may be caused by a lot of factors, such as trauma, infection, and tumor, including iatrogenic trauma by a clinician in the form of a nerve lesion, ranging from concussion to complete separation of nerve body [2]

  • A 32-year-old woman came to the dental unit in Karitas Hospital, South West Sumba, East Nusa Tenggara, for second lower left molar extraction with a necrotic pulp

  • There are a number of anesthesia techniques, and one of the most common techniques is inferior alveolar nerve block (IANB), that works by filling the lingula on the mandible ramus with anesthetic solution, commonly 2% lidocaine combined with 1:100.000 epinephrine using a syringe

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Summary

Introduction

Lagopthalmos is inability to close the eyelid, which is one of the symptoms of Facial Palsy (FP), ranging from mild to complete form [1]. Dental anesthetics in the form of Inferior Alveolar Nerve Block (IANB) is one of the most frequent causes for nerve lesions, as the target of anesthetic injection lies closely to the parotid salivary gland, which encapsulates the 7th cranial nerve’s ganglion [3,4]. She had her first lower right molar extracted using inferior alveolar nerve block 2 years prior with no complication.

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