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Nerve Blocks of the Head and Face-An Interactive Review of Techniques and Clinical Cases


Affiliations
1 Postgraduate Student, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, India
2 Assistant Professor, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Karaikkal, Puducherry − 609602, India
3 Professor, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, India
 

Regional anaesthesia is emerging either as a sole anaesthetic technique or as an adjunct to general anaesthesia in different surgical conditions. With increasing incidence of systemic illnesses coming for operative procedures, the value of addition of nerve blocks to a routine anaesthetic technique assumes more significance in terms of decreasing morbidity. Usually, the anaesthesiologists are familiar with abdominal, chest and extremity blocks. As ultrasound is not friendly with head and face with bony prominences, the progress in this field is further hampered. In this narrative review, we will try to elaborate on a few useful nerve blocks of the head and face, the importance of ultrasound in viewing those nerves in the bony gaps will be discussed. The use of such techniques as either a perioperative analgesic or as an independent anaesthetic method along with the precautions to be followed in their administration will be highlighted.

Keywords

Anaesthesia, Face, Head, Nerve Blocks, Regional.
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  • Kumar A, Sinha C, Kumar A, Kumari P, Mukul SK. Ultrasound-guided trigeminal nerve block and its comparison with conventional analgesics in patients undergoing faciomaxillary surgery: Randomised control trial. Indian J. Anaesth. 2018 Nov; 62:871-75. https://doi.org/10.4103/ija.IJA_256_18. PMid: 30532323, PMCid: PMC6236796.
  • Burnand C, Joseph Sebastian. Anaesthesia for awake craniotomy. Continuing Education in Anaesthesia Critical Care and Pain. 2014 Feb 14; 1:6-11. https://doi.org/10.1093/bjaceaccp/mkt024.
  • Allam Abdallah El-Sayed, Adham Aboul Fotouh Khalil, Basma Aly Eltawab, Wei-Ting Wu, Ke-Vin Chang. Ultrasound-guided intervention for treatment of trigeminal Neuralgia: An updated review of anatomy and techniques. Pain Research and Management. 2018 Apr; 1-9. https://doi.org/10.1155/2018/5480728. PMid: 29808105, PMCid: PMC5902000.
  • Osborn I, Joseph S. Scalp block during craniotomy: A classic technique revisited. Journal of Neurosurgical Anesthesiology. 2010 Jul 22; 3:187-94. https://doi.org/10.1097/ANA.0b013e3181d48846. PMid: 20479675.
  • m SH, Hee JL, Jae SS, Kyunghoon M. Ultrasound-guided auriculo-temporal nerve block for post-herpetic auriculotemporal neuropathy: A case report. Neurology Asia. 2017 Dec 4; 369-72.
  • Binici O, Ufuk K, Murat S, Aysin A, Ismail Y. Ultrasound guided bilateral greater occipital nerve block for mass excision. Turkish Journal of Anesthesia and Reanimation. 2015 Dec; 43(6):437-39. https://doi.org/10.5152/TJAR.2015.15975. PMid: 27366544, PMCid: PMC4894191.
  • Platzgummer H, Thomas M, Gerlinde MG, Christopher P, Christian W, Gerd B, Doris L-S. The lesser occipital nerve visualized by high-resolution sonography-normal and initial suspect findings. Cephalalgia. 2015 Aug; 35:816-24. https://doi.org/10.1177/0333102414559293. PMid: 25414471.
  • Parthasarathy S. Anaesthetic management of bilateral nasal polypectomy in a patient with kartagener syndrome. Sri Lankan Journal of Anaesthesiology. 2012 Apr; 20(1):56-57. https://doi.org/10.4038/slja.v20i1.3305.
  • Parthasarathy S, Janani N. Maxillary nerve block - a useful supplementary technique in the management of trigeminal neuralgia: A case report. SBV Journal of Basic, Clinical and Applied Health Science. 2019 Mar; 2:43-44. https://doi.org/10.5005/jp-journals-10082-02109.
  • Boselli E, Lionel B, Caroline A-M, Gérard B, Nathalie D-J, Najia R, Delphine V-C, et al. Infraorbital and infratrochlear nerve blocks combined with general anaesthesia for outpatient rhinoseptoplasty: A prospective randomised, double-blind, placebo-controlled study. Anaesthesia Critical Care and Pain Medicine. 2016 Feb; 35:31-36. https://doi.org/10.1016/j.accpm.2015.09.002. PMid: 26549134.
  • Parthasarathy S, Indu K. Excision of right nasolabial cyst under intra oral infra orbital nerve block - A case report and a short review. Indian J. Clin. Anaesth. 2017; 4(1):147-49.
  • Abdellatif AA, Ashraf EE, Khaled E. Ultrasound-guided infraorbital nerve block for cleft lip repair in pediatrics: A new technique for an old block. Ain-Shams Journal of Anesthesiology. 2018 Oct; 3. https://doi.org/10.1186/s42077-018-0011-9.
  • Serdar E. Sympathetic Block of the Head and Neck. In: Prithvi Raj P, editor. Interventional Pain Management: Image Guided Procedure. 2nd ed. Philadelphia: Saunders Elsevier; 2008. 288-91.
  • Kumar N, Shashni S, Singh R, Jain A. Mandibular nerve block for peri-operative pain relief using a peripheral nerve stimulator: correspondence. Anaesthesia. 2011 Dec; 67(1):77-78. https://doi.org/10.1111/j.1365-2044.2011.06949.x. PMid: 22150491.
  • Jain G, Ghanshyam Y, Anil PS, Yashpal S, Dinesh KS. Efficacy of ultrasound-guided mandibular block in predicting safer anesthetic induction. Anesth. Essays. Res. 2016 May-Aug;10(2):184-88. https://doi.org/10.4103/0259-1162.176406. PMid: 27212744, PMCid: PMC4864673.
  • Park HG, Pyung GP, Won JK, Yong HP, Hyun K, Chong WB, Yong HJ, Young CW, Gill HK, Hwa YS. Ultrasoundassisted mental nerve block and pulsed radiofrequency treatment for intractable postherpetic neuralgia: Three case studies. The Korean Journal of Pain. 2014 Jan; 27(1):81-85. https://doi.org/10.3344/kjp.2014.27.1.81. PMid: 24478907, PMCid: PMC3903807.
  • Balasubramanian S, Elavenil P, Guruprasad T, Pathumai M, Simin A, Krishnakumar RVb. Efficacy of exclusive lingual nerve block versus conventional inferior alveolar nerve block in achieving lingual soft-tissue anesthesia. Annals of Maxillofacial Surgery. 2017 Nov;7(2):250-55. https://doi.org/10.4103/ams.ams_65_17. PMid: 29264294, PMCid: PMC5717903.
  • Drum M, Al R, Mike B. Long Buccal nerve block injection pain in patients with irreversible pulpitis. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics. 2011 July; 112(1):e51-54. https://doi.org/10.1016/j.tripleo.2011.01.028. PMid: 21458333.
  • Ahmed SA, Amany FO. The effect of glossopharyngeal nerve block on post-tonsillectomy pain of children; randomized controlled trial. Anesth. Pain Med. 2019 Apr; 9(2):e90854. https://doi.org/10.5812/aapm.90854. PMid: 31341828, PMCid: PMC6614918.
  • Liu Q, Qing Z, Guoqiang T, Guanghong H. Ultrasoundguided glossopharyngeal nerve block via the styloid process for glossopharyngeal neuralgia: A retrospective study. Journal of Pain Research. 2019 Aug; 12:2503-10. https://doi.org/10.2147/JPR.S214596. PMid: 31496791, PMCid: PMC6690851.
  • Parthasarathy S, Manohar R. Combined mandibular nerve block and superficial cervical plexus block for parotid gland surgery. British Journal of Pharmaceutical and Medical Research (BJPMR). 2017 Jan-Feb; 02(01):394-96.
  • Parthasarathy S, Manohar R. Single injection combined maxillary and ophthalmic nerve block for debridement of facial injuries. British Journal of Pharmaceutical and Medical Research (BJPMR). 2017 Jan-Feb; 02(01):384-87.

Abstract Views: 280

PDF Views: 208




  • Nerve Blocks of the Head and Face-An Interactive Review of Techniques and Clinical Cases

Abstract Views: 280  |  PDF Views: 208

Authors

K. J. Krishna Priyanka
Postgraduate Student, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, India
S. Balachandar
Assistant Professor, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Karaikkal, Puducherry − 609602, India
S. Parthasarathy
Professor, Department of Anesthesiology, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth, Pillayarkuppam, Puducherry – 607402, India

Abstract


Regional anaesthesia is emerging either as a sole anaesthetic technique or as an adjunct to general anaesthesia in different surgical conditions. With increasing incidence of systemic illnesses coming for operative procedures, the value of addition of nerve blocks to a routine anaesthetic technique assumes more significance in terms of decreasing morbidity. Usually, the anaesthesiologists are familiar with abdominal, chest and extremity blocks. As ultrasound is not friendly with head and face with bony prominences, the progress in this field is further hampered. In this narrative review, we will try to elaborate on a few useful nerve blocks of the head and face, the importance of ultrasound in viewing those nerves in the bony gaps will be discussed. The use of such techniques as either a perioperative analgesic or as an independent anaesthetic method along with the precautions to be followed in their administration will be highlighted.

Keywords


Anaesthesia, Face, Head, Nerve Blocks, Regional.

References





DOI: https://doi.org/10.18311/ajprhc%2F2019%2F25136