Suprazygomatic Access for Continuous Bilateral Mandibular Nerve Block for Pain and Trismus Relief in the Tetraplegic Patient

Dziadzko, Mikhail; Héritier, F

doi:10.1016/j.joms.2016.05.013

Cited by 4 publications

(4 citation statements)

References 22 publications

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“…After local infiltration, an 18-gauge insulated and stimulating cannula is inserted into the retrozygomatic space just above the zygomatic arch and directed to the angle of mandible with medial and posterior inclination (Fig. 5.8) [31].…”

Section: Mandibular Nerve Blockmentioning

confidence: 99%

Local Anesthesia in Oral and Maxillofacial Surgery

John

2021

Oral and Maxillofacial Surgery for the Clinician

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Section: Mandibular Nerve Blockmentioning

confidence: 99%

Local Anesthesia in Oral and Maxillofacial Surgery

John

2021

Oral and Maxillofacial Surgery for the Clinician

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“…Previous reports have described that a mandibular nerve block using the landmark technique was effective in relieving trismus for a short time in several patients [9][10][11][12]. These case reports indicated that the nerve block was effective for pain due to TMD; however, the classical approach carries a risk of vascular lesions or foramen ovale insertion.…”

Section: Discussionmentioning

confidence: 99%

“…These case reports indicated that the nerve block was effective for pain due to TMD; however, the classical approach carries a risk of vascular lesions or foramen ovale insertion. These complications can result in "total spinal anesthesia" and even pharyngeal penetration [9]. Ultrasound-guided IANB is much easier to perform, has no adverse effects, and may be useful for diagnostic purposes as well.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

et al. 2020

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Background Temporomandibular disorder (TMD) is a broad term that encompasses pain and/or dysfunction of the masticatory musculature and TM joints (TMJs). When TMD becomes a chronic condition, the symptoms are extremely difficult to manage and require multiple interventions. Case presentation A woman in her 50s developed TMD after a traffic accident 30 years ago. The patient presented with severe trismus due to TMJ pain and a maximum mouth opening of 20 mm. Ultrasound-guided inferior alveolar nerve block (IANB) was performed with ropivacaine. After IANB, the pain during mouth opening subsided and the maximum mouth opening improved to 40 mm. Dental treatment could be performed without difficulty and the patient could keep her mouth open throughout the treatment. Conclusions Treatments for chronic TMD are limited and it is necessary to identify the precise etiology before choosing a treatment option. In this patient, ultrasound-guided IANB proved to be effective in relieving TMD-related trismus.

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“…A continuous mandibular nerve block is effective for the relief of pain caused by MRONJ [ 8 ], mandibular fracture [ 10 ], and trigeminal neuralgia [ 11 ]. Dziadzko et al [ 12 ] reported that a continuous bilateral nerve block was effective for painful trismus in patients with tetraplegia. Taken together, the referral to a pain specialist is reasonable not only for effective pain relief by nerve blocking but also to avoid excessive use of opioids and NSAIDs.…”

Section: Discussionmentioning

confidence: 99%

Referral to Pain Specialists for Treatment of Intractable Mandibular Pain Caused by Osteonecrosis of the Jaw: A Case Series Report

Hiraoka¹,

Matsumura²,

Uryu³

et al. 2022

Cureus

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Pain is a problematic symptom in patients with osteonecrosis of the jaws (ONJ). Effective pain management in patients with advanced ONJ still remains an unresolved issue. This case series report presents three patients who were referred to the pain clinic for treatment of intractable pain caused by ONJ. Two patients received mandibular nerve blocks and achieved pain relief. After referral to the pain clinic, these two patients underwent segmental mandibulectomy for ONJ. In the third patient, the effect of pain control was limited. Appropriate cooperation between the oral and maxillofacial surgeon and the pain specialist is essential for pain management in patients with advanced ONJ who experience intense pain.

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Suprazygomatic Access for Continuous Bilateral Mandibular Nerve Block for Pain and Trismus Relief in the Tetraplegic Patient

Cited by 4 publications

References 22 publications

Local Anesthesia in Oral and Maxillofacial Surgery

Local Anesthesia in Oral and Maxillofacial Surgery

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

Referral to Pain Specialists for Treatment of Intractable Mandibular Pain Caused by Osteonecrosis of the Jaw: A Case Series Report

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