Ventricular Asystole During Le Fort I Orthognathic Surgery: A Case Consistent with Trigeminocardiac Reflex and a Mini Review
Lateral nasal osteotomy may trigger a TCR-like event with severe bradyarrhythmia or asystole during Le Fort I osteotomy, particularly in hemodynamically vulnerable patients. Anticipation, swift recognition, and prompt, protocolized management are essential for favorable outcomes.
Authors
- Zeynep Ülkü
- Anirudh Nair (ORCID: https://orcid.org/0000-0001-7662-7668)
- Daniel Sultan
- Sucharu Ghosh (ORCID: https://orcid.org/0000-0003-1053-6522)
- Robert Pellecchia
- Sandra Armanious
Institutions
- Lincoln Medical Center (US)
Publication Details
- Journal
- Clinics and Practice
- Published
- 2026-01-07
- DOI
- https://doi.org/10.3390/clinpract16010013
- Primary Topic
- Trigeminal Neuralgia and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00