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Local anesthesia complications and management

Oral and Maxillofacial Surgery · Dental (BDS)

Study notes

A patient develops a cheek swelling immediately after a PSA block. What happened and what now? Hematoma - the needle nicked the pterygoid venous plexus; immediate pressure, ice, and reassurance (it resolves in days, with bruising). Students learn complications as recognition-plus-action pairs: name it, manage it, document it - and prevent the next one with better landmarking and aspiration.

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