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Local anesthetic-induced myotoxicity as a cause of severe trismus after inferior alveolar nerve block.

Wenko Smolka, Thomas Knoesel, Ullrich Mueller-Lisse
Quintessence International 2018
A case of a 60-year-old man with severe trismus after inferior alveolar nerve block is presented. MRI scans as well as histologic examination revealed muscle fibrosis and degeneration of the medial part of the left temporal muscle due to myotoxicity of a local anesthetic agent.

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