[Regional nerve block in facial surgery].
Regional nerve blocking techniques offer a suitable alternative to local infiltration anaesthesia for facial soft tissue-surgery. Moreover, they present several advantages over general anaesthesia, including smoother recovery, fewer side effects, residual analgesia into the postoperative period, earlier discharge from the recovery room and reduced costs. The branches of the trigeminal nerve and the sensory nerves originating from the upper cervical plexus can be targeted at several anatomical locations. We summarize current knowledge on facial nerve block techniques and recommend ten nerve blocks providing efficient anaesthesia for the entire head and upper-neck region.
Gramkow
Christina
C
Herlev Hospital, Plastikkirurgisk Afdeling V118, og Rigshospitalet, Plastikkirurgisk Afdeling S. j.sorensen@dadlnet.dk
Sørensen
Jesper
J
D000762:Anesthesia Recovery Period; D000772:Anesthesia, Local / Q000009:adverse effects / Q000191:economics / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage; D003362:Cost-Benefit Analysis; D005145:Face / Q000294:innervation / Q000601:surgery*; D006801:Humans; D009407:Nerve Block / Q000009:adverse effects / Q000191:economics / Q000379:methods; D014276:Trigeminal Nerve / Q000502:physiology
D000779:Anesthetics, Local