Inferior alveolar nerve paraestheia and cutaneous sinus on the face associated with periapical infection of lower molar teeth in a 14-year-old girl: A rare and unusual case report

Article type: Case Report

Authors: Chhabra, Anuj^a; | Chhabra, Nidhi^a

Affiliations: [a] Department of Dental Surgery, North Delhi Municipal Corporation Medical College and Hindu Rao Hospital, Malkaganj, New Delhi, India

Correspondence: [*] Address for correspondence: Dr. Anuj Chhabra, Department of Dental Surgery, North DMC Medical College and Hindu Rao Hospital, Malkaganj, New Delhi, India. E-mail: anujchhabradr@gmail.com

Abstract: BACKGROUND:Paresthesia is defined as a burning or prickling sensation or partial numbness caused by neural injury. OBJECTIVE:The purpose of this paper is to present a rare and unusual case report of odontogenic infection-induced inferior alveolar nerve (IAN) paresthesia along with cutaneous draining sinus on the face of a pediatric patient and to discuss the possible pathophysiologic mechanism of nerve injury. METHODS:A 14-year-old female patient with cutaneous sinus and paresthesia associated with inferior alveolar nerve was enrolled in the study and the clinical and radiological manifestations of sinus lesion were carefully evaluated. RESULTS:The most appropriate treatment was carried out not only to resolve extraoral sinus but also to ensure progressive healing for the complete resolution of neurological disturbance. CONCLUSION:The simultaneous occurrence of infection and paresthesia strongly suggested a definitive relationship. Therefore, there seems to be a correlation between duration, origin, significance of the injury and the prognosis of paresthesia.

Keywords: Odontogenic infection, paresthesia, inferior alveolar nerve, periapical abscess

DOI: 10.3233/JRS-200025

Journal: International Journal of Risk & Safety in Medicine, vol. 32, no. 1, pp. 19-24, 2021