Mandibular nerve block for peri‐operative pain relief using a peripheral nerve stimulator

Kumar, Nishant; Shashni, Sapna; Singh, Ranju; Jain, Aparna

doi:10.1111/j.1365-2044.2011.06949.x

Cited by 13 publications

(6 citation statements)

References 3 publications

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“…Several case reports suggest use of a mandibular nerve block to control pain in patients suffering from TN, orofacial cancer, and fractured mandibles . Traditionally it is done by eliciting paresthesia, but nerve stimulation can be used to target jaw jerk as the end point, which not only improves accuracy, but also possibly reduces the risk for intravascular or intraneural placement . However, peripheral nerve blocks like mandibular nerve blocks are found to be less effective than central ganglion level procedures.…”

Section: Discussionmentioning

confidence: 99%

“…[25][26][27] Traditionally it is done by eliciting paresthesia, but nerve stimulation can be used to target jaw jerk as the end point, which not only improves accuracy, but also possibly reduces the risk for intravascular or intraneural placement. 28 However, peripheral nerve blocks like mandibular nerve blocks are found to be less effective than central ganglion level procedures. Hence, it is advocated that peripheral blocks be reserved for emergency scenarios and in patients where other procedures are unsuitable.…”

Section: Discussionmentioning

confidence: 99%

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Trigeminal Neuralgia in Pregnancy: A Management Challenge

et al. 2017

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Pregnancy is known to aggravate pre-existing chronic painful conditions. Trigeminal neuralgia (TN), albeit a disease of the elderly, may afflict pregnant females, which can further complicate its management. Teratogenic effects of the commonly used drugs on the developing fetus limit pharmacological treatment. Moreover, safety of commonly performed interventional therapies is marred by their inherent fetomaternal effects and more importantly the risk for radiation effects on the fetus due to the use of fluoroscopy. This rare coexistence of TN in pregnancy has not been reported before. Here we present a case of TN in a young woman, whose pain was aggravated when she became pregnant, and she was treated successfully by conventional radiofrequency ablation of the Gasserian ganglion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trigeminal Neuralgia in Pregnancy: A Management Challenge

et al. 2017

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“…; Kumar et al . ). Stimulation of the nerve using a lateral extraoral approach results in a motor response of the temporal and masseter muscles, apparent as a jaw jerk.…”

Section: Nerve Stimulator Guided Local Techniques For the Equine Headmentioning

confidence: 97%

Local anaesthetic techniques for the equine head, towards guided techniques and new applications

Hermans

Veraa

Wolschrijn

et al. 2017

Equine Veterinary Education

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Summary Perineural nerve blocks are often used in equine practice, especially since the use of diagnostic and surgical procedures in the standing sedated horse have expanded over recent decades. The purpose of this review is to discuss the different perineural nerve blocks for the equine head. The review starts with the currently most used blind approaches as described in textbooks and scientific studies. In human medicine, the role of guided techniques, such as ultrasound guidance, advanced imaging guidance and nerve stimulator guided techniques, is very extensively described. These techniques are promising to use in equine medicine as well. The first studies that describe these techniques in equine cases are also discussed in this review, as well as the possibilities for neuromodulation in equine pain syndromes like equine trigeminus‐mediated headshaking and the role of perineural nerve blocks in diagnosing this syndrome.

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“…The initial stimulating current should be set at 1.3 mA, with a frequency of 2 Hz. A motor response from the temporalis and masseter muscles results in a jaw jerk, and then, the current should be reduced to a threshold of 0.6 mA [ 20 ].…”

Section: Maxillary and Mandibular Nervesmentioning

confidence: 99%

Ultrasound-Guided Intervention for Treatment of Trigeminal Neuralgia: An Updated Review of Anatomy and Techniques

Allam

Khalil²,

Eltawab

et al. 2018

Pain Research and Management

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Orofacial myofascial pain is prevalent and most often results from entrapment of branches of the trigeminal nerves. It is challenging to inject branches of the trigeminal nerve, a large portion of which are shielded by the facial bones. Bony landmarks of the cranium serve as important guides for palpation-guided injections and can be delineated using ultrasound. Ultrasound also provides real-time images of the adjacent muscles and accompanying arteries and can be used to guide the needle to the target region. Most importantly, ultrasound guidance significantly reduces the risk of collateral injury to vital neurovascular structures. In this review, we aimed to summarize the regional anatomy and ultrasound-guided injection techniques for the trigeminal nerve and its branches, including the supraorbital, infraorbital, mental, auriculotemporal, maxillary, and mandibular nerves.

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Mandibular nerve block for peri‐operative pain relief using a peripheral nerve stimulator

Cited by 13 publications

References 3 publications

Trigeminal Neuralgia in Pregnancy: A Management Challenge

Trigeminal Neuralgia in Pregnancy: A Management Challenge

Local anaesthetic techniques for the equine head, towards guided techniques and new applications

Ultrasound-Guided Intervention for Treatment of Trigeminal Neuralgia: An Updated Review of Anatomy and Techniques

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