Superficial parotidectomy under local anesthesia, case report

Abstract

a b s t r a c tFor superficial parotidectomy general anesthesia is ideal, but certain patients may be unfit. The present case had uncontrolled hypertension together with difficult airway. To avoid any suspected complications, we decided to do the operation under local anesthesia. We planned to block the maxillary nerve and superficial cervical plexus with greater auricular nerve together with incision site infiltration. A mixture of bupivacaine 0.25% and lignocaine 1% with adrenaline 1: 200,000 was prepared. The block was effective after about 15-20 min and the surgery was performed uneventfully using only the nerve blocks with mild sedation.

Efficacy of superficial cervical plexus block versus cervical retrolaminar block both combined with auriculotemporal nerve block in parotid surgeries

“…In Group S, the time of first analgesia request was 10.40 ± 2.41 h. Previous studies using SCPB in parotid surgery did not declare the duration to the first analgesia request [ [1] , [2] , [3] ]. However, Yaho et al [ 27 ] showed that the first analgesic request following SCPB was 18 h in thyroid surgery , as they used higher concentration of LA 10 ml ropivacaine 0.5% [ 27 ].…”