When Anatomy Meets Endocrinology: Hematoma After Posterior Superior Alveolar Nerve Block in a Hypothyroid Dwarfism Patient a Case Report
by Dr. Himanshu Prem Dhanwani, Dr. Samruddhi Banduji Hatwar
Published: December 8, 2025 • DOI: 10.51584/IJRIAS.2025.101100033
Abstract
The Posterior Superior Alveolar (PSA) nerve block is a routine local anesthesia technique used for maxillary molar procedures. Despite its safety, inadvertent vascular injury may result in hematoma formation—a rare but distressing complication. This case report presents a hematoma occurring after PSA nerve block in a 55-year-old female patient with hypothyroidism and dwarfism, highlighting the importance of understanding how systemic and craniofacial anatomical variations influence anesthetic complications.