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[Percutaneous maxillary nerve block anesthesia in maxillofacial surgery].
M Robiony1, V Demitri, F Costa
1Cattedra di Chirurgia Maxillofacciale, Università degli Studi, Udine.
Minerva Stomatologica
|June 5, 1999
Summary
Percutaneous maxillary nerve block combined with sphenopalatine ganglion anesthesia provides effective pain control for oral surgery. This technique simplifies procedures and ensures good pre- and post-operative analgesia with no side effects.
Area of Science:
- Oral and Maxillofacial Surgery
- Anesthesiology
- Pain Management
Context:
- Maxillary nerve block and sphenopalatine ganglion anesthesia are crucial for oral and maxillofacial procedures.
- Evaluating combined anesthetic techniques is essential for improving patient outcomes and surgical efficiency.
Purpose:
- To present personal experience with percutaneous maxillary nerve block anesthesia combined with transmucosal anesthesia of the sphenopalatine ganglion.
- To assess the efficacy and safety of this combined anesthetic approach in various oral and maxillofacial surgeries.
Summary:
- The study involved six Caldwell-Luc procedures, nine anthrotomies, nine maxillary sinus biopsies, eight extensive odontogenic cyst removals, and twelve surgical maxillary expansions.
- Percutaneous maxillary nerve block (using Carbocaine without adrenaline) and transmucosal sphenopalatine ganglion anesthesia (using lidocaine-prilocaine cream) were employed.
- Intraoperative and postoperative pain were evaluated using a visual analogue scale, demonstrating effective pain control and analgesia.
Impact:
- The combined anesthetic technique proved effective in all surgical interventions.
- Postoperative analgesia facilitated easier pain management.
- The procedure's simplicity, effectiveness, and lack of side effects make it highly suitable for oral and maxillofacial surgery.