Abstract:
Oculocardiac reflex (OCR), presenting as bradycardia and asystole, is a potential intraoperative complication that may occur during maxillofacial trauma surgery. Bradycardia is the most common symptom of this phenomenon. Surgeons should be aware of its long-term effects, such as arrhythmias and even cardiac arrest. We report the case of a 40-year-old male patient with a fracture of the floor of the orbit. During a surgical exploration of the orbital floor, the patient exhibited sudden symptoms of OCR. It was managed by withholding the surgery and administering atropine. The article also highlights the mechanism, types, incidence, and management of OCR in patients with maxillofacial trauma.
摘要:
耳心反射(OCR),表现为心动过缓和心搏停止,是在颌面部创伤手术中可能发生的潜在术中并发症。心动过缓是这种现象最常见的症状。外科医生应该意识到它的长期影响,如心律失常,甚至心脏骤停。我们报告了一名40岁的男性患者的眼眶地板骨折。在对眶底的手术探索中,患者出现突然的OCR症状。通过保留手术和使用阿托品来管理。文章还强调了该机制,类型,发病率,颌面部创伤患者的OCR管理。