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Comment on: Super-Selective Intra-arterial Thrombolytic Therapy for Peripheral Facial Paralysis After Postauricular

Li Tang1,2, Chen Dong1,2, Hai-Bin Wang3,4

  • 1Department of Plastic and Reconstructive Surgery, Guangdong Medical University, 2 Wenming East Road, Xiashan District, Zhanjiang City, Guangdong Province, People's Republic of China.

Aesthetic Plastic Surgery
|February 28, 2025
PubMed

Keywords:
Filler injectionsHyaluronic acidLying earPeripheral facial paralysisStylomastoid artery

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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