Open AccessRegional anesthesia in faciomaxillary and oral surgery
Author(s) -
Manimaran Kanakaraj,
Natarajan Shanmugasundaram,
Madhanmohan Chandramohan,
K Radhika,
S Mahendra Perumal,
Jayan Nagendran
Publication year - 2012
Publication title -
journal of pharmacy and bioallied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.268
H-Index - 36
eISSN - 0976-4879
pISSN - 0975-7406
DOI - 10.4103/0975-7406.100247
Subject(s) - medicine , forehead , nerve block , anesthesia , oral surgery , local anesthesia , local anaesthetic , lidocaine , anesthetic , mandibular nerve , oral and maxillofacial surgery , regional anesthesia , trigeminal nerve , scalp , surgery , dentistry , molar
Faciomaxillary and oral surgical procedures are frequently done under local anesthesia. Only few techniques are used widely in these areas in spite of the numerous blocks available. Knowledge about these techniques could encourage use of these techniques for the benefit of patients and operators' comfort. Leaving aside the commonly used intraoral anesthetic technique by faciomaxillary and dental surgeons, focus is given on regional blocks of extraoral route, like maxillary block, mandibular block, superficial cervical plexus block, forehead and scalp block, trigeminal nerve block, sphenopalatine nerve block, and they are discussed with their indications and technical details involved in administering them. Advantages of using the regional blocks over general anesthesia and multiple pricks include reduced dosage and number of needle pricks. Pediatric considerations like prolonged duration of anesthesia and wider area of action for regional blocks warrant that they should be used with caution.