Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : ZD01 - ZD03

Two Episodes of Trigeminocardiac Reflex During a Pan facial Fracture Surgery, a Rare Phenomenon – Case Report and Review of Literature

Abhishek Bhattacharjee, Prashanth Rajaram, Abhishek Khatua, K B Rudresh, Pallavi B Krishnamurthy

1. Postgraduate Student, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India. 2. Senior Lecturer, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India. 3. Postgraduate Student, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India. 4. Reader, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College, Bengaluru, Karnataka, India. 5. Private Practitioner, Bengaluru, Karnataka, India.

Correspondence Address :
Dr. Abhishek Bhattacharjee,
Postgraduate Student, Department of Oral and Maxillofacial Surgery, Vokkaligara Sangha Dental College,
Bengaluru-560004, Karnataka, India.
E-mail: drabhishekbhattacharjee10@gmail.com

Abstract

Trigeminocardiac reflex is a sudden physiologic response due to mechanical manipulation of any of the branches of trigeminal nerve. Trigeminocardiac reflex occurs due to pressure effect or stretching of trigeminal nerve which causes fall in blood pressure and decrease in heart rate. In this reflex arc, the trigeminal nerve serves as afferent pathway and vagus nerve, which is cardio inhibitory in nature, serves as efferent pathway. Trigeminocardiac reflex during maxillofacial trauma surgery is not a common phenomenon. The present case report describes a case of 40-year-old male patient, diagnosed with pan facial fracture in which two episodes of trigemino cardiac reflex were seen intraoperatively during fracture reduction and fixation of left zygomaticomaxillary complex fracture and inferior orbital rim fracture. Intraoperative management of trigeminocardiac reflex was done by withholding the stimulus and administration of atropine.

Keywords

Oculocardiac reflex, Reflex arc, Trigeminal nerve, Zygomatico maxillary complex fracture

How to cite this article :

Abhishek Bhattacharjee, Prashanth Rajaram, Abhishek Khatua, K B Rudresh, Pallavi B Krishnamurthy. TWO EPISODES OF TRIGEMINOCARDIAC REFLEX DURING A PAN FACIAL FRACTURE SURGERY, A RARE PHENOMENON – CASE REPORT AND REVIEW OF LITERATURE. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2017 Nov 20 ]; 11:ZD01-ZD03. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=ZD01-ZD03&id=10570

DOI and Others

DOI: 10.7860/JCDR/2017/29781.10570

Date of Submission: May 02, 2017
Date of Peer Review: Jun 23, 2017
Date of Acceptance: Aug 08, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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