Transient unilateral oculomotor and trigeminal nerve palsy following intranasal local anesthetic infiltration: a case report.

ABSTRACT:

Background

Complications from in-office inferior turbinate (IT) and septal swell body coblation typically include pain, congestion, and bleeding. However, rare cases of cranial nerve palsies from local anesthetic infiltration can occur. We present a rare case of an oculomotor nerve palsy and palsies of the ophthalmic (V1) and maxillary (V2) branches of the trigeminal nerve following intranasal local anesthetic infiltration prior to coblation, a complication not previously documented in the literature. Awareness of such rare and transient complications can help surgeons and clinicians avoid unnecessary interventions and better counsel patients.

Case description

A 75-year-old female with a one-year history of recalcitrant bilateral nasal obstruction underwent an in-office prim

SUBMITTER: Tholl S 

PROVIDER: S-EPMC12593149 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature