Oculocardiac reflex during zygomatico maxillary complex fracture management - a retrospective study

Srikanth, G and Kamath, Abhay Taranath and Aramanadka, Chithra and Pentapati, Kalyana Chakravarthy (2018) Oculocardiac reflex during zygomatico maxillary complex fracture management - a retrospective study. Journal of International Dental and Medical Research, 11 (1). pp. 243-247. ISSN 1309-100X

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The aim of the study was to evaluate the incidence and factors associated with Oculocardiac reflex (OCR) in subjects operated for zygomatico maxillary complex (ZMC) fractures. A retrospective analysis of subjects operated for ZMC fractures was carried out in our institution. Data related to gender, age, comorbidities, and associated medications, the presence of OCR and the need for intraoperative anticholinergic drugs were recorded. Only subjects with complete data were included in the study. A total of 209 subjects had complete records out of which 73.2% were males with an OCR incidence of 10.05%. No significant difference was seen in the distribution of OCR when compared to age and gender (P=0.394 and 0.398) respectively. Significantly higher number of individuals with OCR had hypertension (57.1%), hyperlipidemia (52.4%) and medication of β-blockers (42.9%) than those who did not develop OCR (P<0.001, 0.002 and <0.001) respectively. No significant difference was seen between the presence of diabetes, use of calcium channel blockers and distribution of OCR. Only three subjects needed intra-operative anticholinergic drugs. The incidence of OCR in subjects undergoing reduction of ZMC fractures was 10.05%. Subjects with comorbidities like hypertension, hyperlipidemia, and use of β-blockers may be more susceptible for OCR.

Item Type: Article
Uncontrolled Keywords: Cardiac; Bradycardia; Fractures; Reflex; Zygomatico maxillary complex; Development and to improve the function of the stomatognathic system
Subjects: Dentistry > MCODS Manipal > Preventive and Community Dentistry
Dentistry > MCODS Manipal > Oral and Maxillofacial Surgery
Depositing User: KMC Library
Date Deposited: 26 May 2018 04:28
Last Modified: 26 May 2018 04:28
URI: http://eprints.manipal.edu/id/eprint/151145

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