Regional anesthesia for cleft lip repair: a preliminary study

The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association
Naveen EipeRajiv Choudhrie

Abstract

To assess whether local anesthetic blockade of the infraorbital nerve may allow for cleft lip repair to be performed under regional anesthesia. Twenty patients above 12 years of age with cleft lip (7 females and 13 males) were enrolled. Careful preoperative counseling was given. Bilateral infraorbital block was performed (extraoral approach) with 10 mL of equal volumes of 2% lidocaine with 1:200,000 adrenaline and 0.5% bupivacaine. The point of entry was the intersection of a vertical line through the pupil of the eye (in the neutral position) and a horizontal line through the ala of the nose. The needle was directed medially and cephalad until the infraorbital foramina was reached and 2 mL was injected. Through the same point of entry, but directed medially (toward the ala), 1 mL was injected followed by a 2-mL injection caudally and medially (into the lip). The block was successful in all patients without complication. The surgery was uneventful, lasting between 45 and 60 minutes. The postoperative duration of analgesia was between 6 and 24 hours (mean 16.5 +/- 5.10 SD). The nerve supply of the cleft lip, our modification of the block, and possible problems with this technique are discussed. This study confirms the utility of...Continue Reading

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Citations

Dec 20, 2007·Plastic and Reconstructive Surgery·Daichi MoriokaAstushige Yoshikawa
Sep 6, 2013·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Daichi Morioka, Shinya Yoshimoto
Dec 20, 2011·Annales Françaises D'anesthèsie Et De Rèanimation·C DadureX Capdevila
May 28, 2008·Paediatric Anaesthesia·Richard HowardUNKNOWN Association of Paediatric Anaesthetists of Great Britain and Ireland
May 7, 2008·Current Opinion in Anaesthesiology·Polina Voronov, Santhanam Suresh
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Donald H LalondeTilinde Chokotho
Sep 8, 2017·Journal of Dental Anesthesia and Pain Medicine·Soung Min KimJong Ho Lee
Jun 24, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Serena N KassamUsama S Hamdan

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