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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.
Background:
Personal experience in percutaneous maxillary nerve block anesthesia in association with transmucosal anesthesia of the sphenopalatine ganglion in oral and maxillofacial surgery, is presented.
Methods:
Six Caldwell-Luc, 9 anthrotomies and biopsies of maxillary sinus, 8 removals of extensive odontogenic cysts and 12 surgical maxillary expansions were performed from 1994 to 1996 at our Department. Maxillary transcutaneous nerve block in association with transmucosal anesthesia of the sphenopalatine ganglion were performed. Carbocaine without adrenaline in association with NaCO3 1/10 for maxillary nerve block anesthesia and lidocaineoprilocaine cream (EMLA) for transmucosal anesthesia were employed. Intra- and post-operative pain were evaluated by visual analogue scale in all the patients.
Results:
Anesthesiological procedures revealed to be effective in all surgical interventions and postoperative analgesia allowed easier pain control.
Conclusions:
The simplicity of execution, the effective pre- and postoperative anesthesia and the absence of side effects make this procedure particularly indicated in oral and maxillofacial surgery.