دورية أكاديمية
The Maxillary Nerve Block in Cleft Palate Care: A Review of the Literature and Expert's Opinion on the Preferred Technique of Administration.
العنوان: | The Maxillary Nerve Block in Cleft Palate Care: A Review of the Literature and Expert's Opinion on the Preferred Technique of Administration. |
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المؤلفون: | Peters JJ; Departments of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands., Jacobs K; Medical Biology, Section Clinical Anatomy and Embryology, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands.; Oral Pain and Dysfunction, Functional Anatomy, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and VU University Amsterdam, Amsterdam, The Netherlands., Munill M; Oral and Maxillofacial Surgery, University Hospital Vall d'Hebron, Barcelona, Spain., Top APC; Anaesthesiology, Amsterdam UMC, location University of Amsterdam., Stevens MF; Anaesthesiology, Amsterdam UMC, location University of Amsterdam., Ronde EM; Departments of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands., Don Griot JPW; Departments of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands., Lachkar N; Departments of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands., Breugem CC; Departments of Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, location University of Amsterdam, Amsterdam, the Netherlands.; Amsterdam Reproduction and Development Research Institute, Amsterdam, The Netherlands. |
المصدر: | The Journal of craniofacial surgery [J Craniofac Surg] 2024 Jul-Aug 01; Vol. 35 (5), pp. 1356-1363. Date of Electronic Publication: 2024 Jun 11. |
نوع المنشور: | Journal Article; Review |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 9010410 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-3732 (Electronic) Linking ISSN: 10492275 NLM ISO Abbreviation: J Craniofac Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: <2014-> : Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Burlington, Ont. : B.C. Decker, c1990- |
مواضيع طبية MeSH: | Cleft Palate*/surgery , Nerve Block*/methods , Anesthetics, Local*/administration & dosage , Anesthetics, Local*/therapeutic use , Maxillary Nerve*, Humans ; Pain, Postoperative/drug therapy ; Pain, Postoperative/prevention & control ; Maxillary Artery |
مستخلص: | Introduction: Although the maxillary nerve block (MNB) provides adequate pain relief in cleft palate surgery, it is not routinely used globally, and reported techniques are heterogeneous. This study aims to describe relevant anatomy and to present the preferred technique of MNB administration based on the current literature and the expert opinion of the authors. Method and Materials: First, a survey was sent to 432 registrants of the International Cleft Palate Master Course Amsterdam 2023. Second, MEDLINE (PubMed interface) was searched for relevant literature on maxillary artery (MA) anatomy and MNB administration in pediatric patients. Results: Survey response rate was 18% (n=78). Thirty-five respondents (44.9%) used MNB for cleft palate surgery before the course. A suprazygomatic approach with needle reorientation towards the ipsilateral commissure before incision was most frequently reported, mostly without the use of ultrasound. Ten and 20 articles were included on, respectively, MA anatomy and MNB administration. A 47.5% to 69.4% of the MA's run superficial to the lateral pterygoid muscle and 32% to 52.5% medially. The most frequently described technique for MNB administration is the suprazygomatic approach. Reorientation of the needle towards the anterior aspect of the contralateral tragus appears optimal. Needle reorientation angles do not have to be adjusted for age, unlike needle depth. The preferred anesthetics are either ropivacaine or (levo)bupivacaine, with dexmedetomidine as an adjuvant. Conclusion: Described MNB techniques are heterogeneous throughout the literature and among survey respondents and not routinely used. Further research is required comparing different techniques regarding efficacy and safety. Competing Interests: The authors report no conflicts of interest. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of Mutaz B. Habal, MD.) |
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المشرفين على المادة: | 0 (Anesthetics, Local) |
تواريخ الأحداث: | Date Created: 20240611 Date Completed: 20240723 Latest Revision: 20240723 |
رمز التحديث: | 20240723 |
مُعرف محوري في PubMed: | PMC11198960 |
DOI: | 10.1097/SCS.0000000000010343 |
PMID: | 38861198 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1536-3732 |
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DOI: | 10.1097/SCS.0000000000010343 |