[Facial locoregional anesthetics: principles and precautions].
Facial locoregional anesthetics (ALR) with nervous blocks are simple and reliable to perform, need little technical resources with a very low iatrogenic risk. These blocks allow anesthesia without deforming wound banks using the same materials as usual local anesthetic procedures. Three principal nervous blocks, in a straight line along the vertical pupil axis, allow managing - even extensive - facial wounds. Few side effects may occur which can be easily prevented. It is a good alternative to local anesthetic for the treatment of extensive and deep areas which is performed with a lower number of injections and a high rate of success. These techniques are easy to learn and practise. These anesthetic techniques allow a nice treatment of different kinds of facial wounds from simple suture to flaps.
Lefort
H
H
Service de chirurgie plastique et maxillofaciale, hôpital d'instruction des armées Percy, 101, avenue Henri-Barbusse, 92141 Clamart cedex, France. hdlefort@gmail.com
Lacroix
G
G
Cordier
A
A
Bey
E
E
Duhamel
P
P
D000772:Anesthesia, Local / Q000009:adverse effects / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000009:adverse effects; D004305:Dose-Response Relationship, Drug; D005151:Facial Injuries / Q000601:surgery*; D006801:Humans; D007279:Injections, Subcutaneous; D009407:Nerve Block / Q000009:adverse effects / Q000379:methods*; D019651:Plastic Surgery Procedures; D015203:Reproducibility of Results
D000779:Anesthetics, Local