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- W1986956502 abstract "To the Editor: Infraorbital nerve block can provide postoperative analgesia for procedures involving the upper lip and vermilion (e.g., cleft lip repair) (1) and nasal surgery (e.g., septal reconstruction, rhinoplasty, and endoscopic sinus surgery) (2). We performed this block on a 2-yr-old girl who presented with severe facial laceration involving the philtrum and the maxillary area (Fig. 1). After informed consent was obtained from her parents and induction of general anesthesia, infraorbital nerve blocks were performed using an intraoral approach. The infraorbital foramen was palpated, the upper lid was everted, and a 27-gauge needle was advanced using a subsulcal approach towards the infraorbital foramen. One mL of 0.25% bupivacaine with 1:200,000 epinephrine was injected after aspiration on each side. Postoperatively she was pain-free and required no rescue pain medication for more than 48 hours. On follow-up for suture removal the parents reported complete satisfaction with the postoperative course.Figure 1.: Block for severe facial laceration involving the philtrum and the maxillary area.Infraorbital nerve block is an excellent option for postoperative pain control for facial trauma involving the upper lip and inframaxillary area. Bilateral injections can provide excellent pain relief without the side effects of systemic opioids. Stefan Budac, MD Department of Anesthesiology Rush Medical Center Chicago, IL [email protected] Santhanam Suresh, MD, FAAP Departments of Anesthesiology & Pediatrics Children's Memorial Hospital Feinberg School of Medicine, Northwestern University Chicago, IL [email protected]" @default.
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- W1986956502 date "2006-06-01" @default.
- W1986956502 modified "2023-10-10" @default.
- W1986956502 title "Emergent Facial Lacerations Repair in Children: Nerve Blocks to the Rescue!" @default.
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- W1986956502 doi "https://doi.org/10.1213/01.ane.0000215127.24376.5f" @default.
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