Extraoral mandibular nerve block with peripheral nerve stimulator for temporomandibular surgery. Issue 2 (March 2016)

• Record Type: Journal Article
• Authors: Kumar, Nishant; Sardana, Rashi; Jain, Aruna
• Is Part Of: Journal of oral and maxillofacial surgery, medicine, and pathology. Volume 28:Issue 2(2016)
• Page Start: 118
• Page End: 121
• Publication Date: 2016-03
• Subjects: Mandibular nerve block -- Peripheral nerve stimulator -- Postoperative pain; Mouth -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Oral medicine -- Periodicals; Mouth -- Diseases -- Pathogenesis -- Periodicals; Surgery, Oral -- Periodicals; Oral Medicine -- Periodicals; Pathology, Oral -- Periodicals; Face -- Surgery; Maxilla -- Surgery; Mouth -- Diseases -- Pathogenesis; Mouth -- Surgery; Oral medicine; Electronic journals -- Sciences; Electronic journals -- Medicine; Periodicals; 617.522059
• DOI: 10.1016/j.ajoms.2015.12.001
• Languages: English
• ISSNs: 2212-5566

Abstract

Abstract: Introduction: Adequate postoperative pain relief after gap arthroplasty is usually managed by intravenous opioids and NSAIDs with their inherent side effects. Mandibular nerve block provides good quality and long lasting analgesia. Use of peripheral nerve stimulator aids the block in cases with distorted anatomy. Methods: We describe the use of peripheral nerve stimulator for extra-oral mandibular nerve block in patients undergoing temporomandibular surgery. Results: Since the peripheral nerve stimulator provides an objective identification of the nerve, the success is close to 100%. Pain relief is excellent with reduction in intraoperative and postoperative consumption of opioids and NSAIDs. Postoperative pain relief lasts for at least 8 h and reduces subsequent requirement of analgesics. Conclusion: Peripheral nerve stimulator is a sure, safe and easy option available for mandibular nerve block in patients undergoing temporo-mandibular surgery especially with distorted anatomy.