J Korean Assoc Oral Maxillofac Surg 2017; 43(5): 351~355
Cavernous sinus thrombosis following dental extraction: a rare case report and forgotten entity
Karun Aggarwal1, Sanjay Rastogi2, Atul Joshi3, Ashish Kumar4, Archana Chaurasia3, Rajat Prakash3
1Department of Oral and Maxillofacial Surgery, Jodhpur Dental College and Hospital, Jodhpur,
2Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Center (KDCRC), Moradabad,
3Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bareilly,
4Department of Public Health Dentistry, BJS Dental College and Research Center, Ludhiana, India
Sanjay Rastogi
Department of Oral and Maxillofacial Surgery, Kothiwal Dental College and Research Centre (KDCRC), Kanth Road, Moradabad 244001, India
TEL: +91-8439783274 FAX: +91-9457624384
E-mail: docos79@gmail.com
ORCID: http://orcid.org/0000-0001-8573-3075
Received November 27, 2016; Revised January 17, 2017; Accepted January 26, 2017.; Published online October 31, 2017.
© Korean Association of Oral and Maxillofacial Surgeons. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Prior to the advent of efficacious antimicrobial agents, the mortality rate from cavernous sinus thrombosis (CST) was effectively 100%. There have been very few reports of CST associated with tooth extraction. A 40-year-old female presented to the emergency room with swelling over the right side of the face and history of extraction in the upper right region by an unregistered dental practitioner. The patient presented with diplopia, periorbital ecchymosis, and chemosis of the right eye. A computed tomography scan revealed venous dilatation of the right superior ophthalmic vein. The patient was immediately treated with incision and drainage, intravenous antibiotics, and heparin (low molecular weight). Unfortunately, the patient died two days after surgery due to complications from the disease. CST is a rare disease with a high mortality rate. Therefore, dental health education in rural areas, legal action against unregistered dental practitioners, early diagnosis, and aggressive antibiotic treatment can prevent future mortality resulting from CST.
Keywords: Tooth extraction, Infection, Cavernous sinus thrombosis, Chemosis, Unregistered dental practitioner

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