Oculocardiac reflex induced by zygomatic fracture; a case report

Oculocardiac reflex has been recognized as the result of mechanical stimulation to the orbital tissue. The authors encountered a case of severe arrhythmia due to oculocardiac reflex in a patient with a zygomatic fracture. Previous health examinations suggested no abnormalities in the heart in his sc...

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Published inJournal of cranio-maxillo-facial surgery Vol. 28; no. 2; pp. 106 - 109
Main Authors Kosaka, Masaaki, Asamura, Sin-ichi, Kamiishi, Hiroshi
Format Journal Article
LanguageEnglish
Published Kidlington Elsevier Ltd 01.04.2000
Elsevier
Subjects
Adult
Biological and medical sciences
Bradycardia - etiology
Bradycardia - therapy
Cardiac dysrhythmias
Cardiac Pacing, Artificial
Cardiology. Vascular system
Dentistry
Electrocardiography
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Heart
Humans
Male
Medical sciences
Orbit - diagnostic imaging
Orbit - innervation
Pacemaker, Artificial
Reflex, Oculocardiac
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Zygomatic Fractures - complications
Zygomatic Fractures - diagnostic imaging
Human
Arrhythmia
Induction
Diseases of the osteoarticular system
Cardiovascular disease
Male
Fracture
Trauma
Excitability disorder
Oculocardiac reflex
Case study
Bradycardia
Heart disease
Young adult
Zygomatic arch
ENT disease
Complication
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Abstract Oculocardiac reflex has been recognized as the result of mechanical stimulation to the orbital tissue. The authors encountered a case of severe arrhythmia due to oculocardiac reflex in a patient with a zygomatic fracture. Previous health examinations suggested no abnormalities in the heart in his schooldays, and the initial diagnosis of his arrhythmia as complete A–V block due to injury (using ECG and cardiac ultrasonography). Because his arrhythmia did not improve spontaneously, he underwent cardiac pacing. After repair of the fracture, his arrhythmia completely disappeared. The pacemaker was removed on the first postoperative day. The pathogenesis of this rare case will be discussed.
AbstractList Oculocardiac reflex has been recognized as the result of mechanical stimulation to the orbital tissue. The authors encountered a case of severe arrhythmia due to oculocardiac reflex in a patient with a zygomatic fracture. Previous health examinations suggested no abnormalities in the heart in his schooldays, and the initial diagnosis of his arrhythmia as complete A–V block due to injury (using ECG and cardiac ultrasonography). Because his arrhythmia did not improve spontaneously, he underwent cardiac pacing. After repair of the fracture, his arrhythmia completely disappeared. The pacemaker was removed on the first postoperative day. The pathogenesis of this rare case will be discussed.
Author Kosaka, Masaaki
Kamiishi, Hiroshi
Asamura, Sin-ichi
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  givenname: Hiroshi
  surname: Kamiishi
  fullname: Kamiishi, Hiroshi
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Cites_doi 10.1136/bjo.59.9.518
10.3171/jns.1953.10.6.0682
10.1016/0002-9394(63)92335-3
10.1016/S0002-9394(35)94491-9
10.1016/0002-9610(72)90232-2
10.1016/S0901-5027(05)80420-5
10.1016/0030-4220(87)90110-1
10.1152/ajplegacy.1968.215.3.560
10.1016/0002-9394(56)91767-6
10.1097/00000542-197812000-00011
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Issue 2
Keywords Human
Arrhythmia
Induction
Diseases of the osteoarticular system
Cardiovascular disease
Male
Fracture
Trauma
Excitability disorder
Oculocardiac reflex
Case study
Bradycardia
Heart disease
Young adult
Zygomatic arch
ENT disease
Complication
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PublicationTitle Journal of cranio-maxillo-facial surgery
PublicationTitleAlternate J Craniomaxillofac Surg
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Publisher Elsevier Ltd
Elsevier
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Hamlin, Smith (RF9) 1968; 215
Bailev (RF3) 1935; 18
Sorenson, Gilmore (RF13) 1956; 41
Alexander (RF1) 1975; 59
Aschner (RF2) 1908; 21
Dewar, Wishart (RF7) 1976; 69
Störtebecker (RF14) 1953; 10
Precious, Skulsky (RF11) 1990; 19
Robideaux (RF12) 1978; 49
Kato, Hara (RF10) 1978
Berler (RF6) 1963; 56
Bainton, Lizi (RF4) 1987; 64
Barré (RF5) 1921; 42
Störtebecker (10.1054/jcms.2000.0107_RF14) 1953; 10
Sorenson (10.1054/jcms.2000.0107_RF13) 1956; 41
Berler (10.1054/jcms.2000.0107_RF6) 1963; 56
Precious (10.1054/jcms.2000.0107_RF11) 1990; 19
Hamlin (10.1054/jcms.2000.0107_RF9) 1968; 215
Barré (10.1054/jcms.2000.0107_RF5) 1921; 42
Bainton (10.1054/jcms.2000.0107_RF4) 1987; 64
Habal (10.1054/jcms.2000.0107_RF8) 1972; 123
Dewar (10.1054/jcms.2000.0107_RF7) 1976; 69
Alexander (10.1054/jcms.2000.0107_RF1) 1975; 59
Bailev (10.1054/jcms.2000.0107_RF3) 1935; 18
Aschner (10.1054/jcms.2000.0107_RF2) 1908; 21
Kato (10.1054/jcms.2000.0107_RF10) 1978
Robideaux (10.1054/jcms.2000.0107_RF12) 1978; 49
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  contributor:
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  year: 1908
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  article-title: Ueber einen bisher noch nicht beschriebenen Reflex vom Auge auf Kreislauf und Atmung
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  contributor:
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  year: 1978
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Snippet Oculocardiac reflex has been recognized as the result of mechanical stimulation to the orbital tissue. The authors encountered a case of severe arrhythmia due...
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StartPage 106
SubjectTerms Adult
Biological and medical sciences
Bradycardia - etiology
Bradycardia - therapy
Cardiac dysrhythmias
Cardiac Pacing, Artificial
Cardiology. Vascular system
Dentistry
Electrocardiography
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Heart
Humans
Male
Medical sciences
Orbit - diagnostic imaging
Orbit - innervation
Pacemaker, Artificial
Reflex, Oculocardiac
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
Zygomatic Fractures - complications
Zygomatic Fractures - diagnostic imaging
Title Oculocardiac reflex induced by zygomatic fracture; a case report
URI https://dx.doi.org/10.1054/jcms.2000.0107
https://www.ncbi.nlm.nih.gov/pubmed/10958423
https://search.proquest.com/docview/72207154
Volume 28
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