Does Maxillary Nerve Block Affect Tear Production? Recovery Time Explained - Otolaryngology

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Will the nasolabial nerve block affect lacrimal gland secretion? How long does recovery take?


Hello, Master.
I had a right-sided maxillary nerve block procedure on November 2nd.
Now, I occasionally notice a small amount of dark red blood in my phlegm, and my eye feels sore and dry, especially at night and in the morning.
Could this be due to the minor surgical wounds not yet healing? How many days should I expect this to last? Compared to my left eye, it seems like my right eye has less tear production—could this be related to the minor surgical trauma? After recovery, will my tear production return to normal levels, similar to my left eye? Wishing you good luck and good fortune!

Huang Long, 60~69 year old female. Ask Date: 2021/11/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, if you have any concerns, it is advisable to schedule a follow-up consultation with your surgeon.
Wishing you safety and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/11/22

More Info


The maxillary nerve block, specifically the procedure you underwent, can indeed have an impact on tear production. The maxillary nerve is responsible for sensory innervation to various structures in the midface, including the lacrimal gland, which is crucial for tear production. When this nerve is blocked, it can lead to temporary changes in how the lacrimal gland functions, potentially resulting in decreased tear production on the affected side.

In your case, since you had the procedure on November 2nd, it is not uncommon to experience some residual effects such as reduced tear production and discomfort in the eye. The presence of dark red blood in your phlegm and the soreness in your eye, especially upon waking, could be attributed to the micro-trauma associated with the nerve block procedure. It is essential to understand that healing from such procedures can vary from person to person, but generally, you might expect a gradual improvement over the next few days to weeks as the tissues heal and the nerve function begins to normalize.

As for your concerns regarding tear production, it is possible that as the healing progresses, your tear production may improve. However, the extent to which it returns to baseline levels can depend on several factors, including the individual’s healing response and the degree of nerve involvement during the procedure. In many cases, patients do report a return to normal tear production, but this can take time, and some may experience lingering effects.

Regarding your question about whether your tear production will match that of your left eye, it is difficult to predict definitively. Many patients do regain normal function, but some may experience slight differences between the two sides. If the reduced tear production persists beyond the expected recovery period, it would be advisable to consult your healthcare provider. They may recommend treatments such as artificial tears or other interventions to help manage any ongoing symptoms.

In summary, while the maxillary nerve block can temporarily affect tear production, most patients see improvement as they heal. The discomfort and changes you are experiencing are likely part of the recovery process. If symptoms persist or worsen, follow-up with your healthcare provider is essential to rule out any complications and to discuss further management options. Remember to take care of your eyes during this recovery period, and consider using lubricating eye drops if you experience dryness or discomfort.

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