Regional anesthesia for cleft lip repair: a preliminary study
Naveen Eipe1, Ashish Choudhrie, A Dildeep Pillai
1Department of Anesthesia, Padhar Hospital, Padhar, Betul District, Madhya Pradesh-460005, India. neipe@yahoo.com
Summary
Infraorbital nerve blocks provide effective postoperative analgesia for cleft lip repair in patients over 12 years old. This regional anesthesia technique offers a safe and economical approach to cleft lip surgery.
Area of Science:
- Anesthesiology
- Pediatric Surgery
- Plastic Surgery
Background:
- Cleft lip repair often requires general anesthesia.
- Regional anesthesia techniques can potentially reduce the need for general anesthesia in pediatric patients.
- The infraorbital nerve is a key sensory nerve supplying the upper lip region.
Purpose of the Study:
- To evaluate the efficacy of infraorbital nerve blockade for regional anesthesia during cleft lip repair.
- To assess the duration and quality of postoperative analgesia provided by this technique.
Main Methods:
- A cohort of 20 patients (age >12 years) undergoing cleft lip repair were included.
- Bilateral infraorbital nerve blocks were performed using an extraoral approach with a combination of lidocaine and bupivacaine.
- Specific anatomical landmarks were used to guide needle insertion and anesthetic injection.
Main Results:
- The infraorbital nerve block was successful in all patients, with no reported complications.
- Cleft lip repair surgeries proceeded uneventfully under regional anesthesia.
- Postoperative analgesia lasted between 6 and 24 hours, with a mean duration of 16.5 hours.
Conclusions:
- Infraorbital nerve blockade is a viable and effective method for providing regional anesthesia and postoperative analgesia in cleft lip repair.
- This modified block technique offers a safe, economical, and potentially innovative approach to anesthesia for cleft lip surgery.
- Further research is warranted to explore the broader application of this technique in pediatric plastic surgery.
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