When Anatomy Meets Endocrinology: Hematoma After Posterior Superior Alveolar Nerve Block in a Hypothyroid Dwarfism Patient a Case Report

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.

Posterior superior alveolar nerve block, hematoma

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