title: Efficacy of bilateral mental nerve block with bupivacaine for postoperative pain control in mandibular parasymphysis fractures.
abstract: Background and aims. Postoperative pain control is extremely important for both patients and surgeons; in this context, long-acting local anesthesia can play an important role after open reduction of maxillofacial fractures. The purpose of this study was to evaluate the effect of bilateral mental nerve block with bupivacaine on postoperative pain control in mandibular symphyseal fractures. Materials and methods. Fifty patients with pure mandibular symphyseal fractures were studied in two control and study groups. In contrast to the control group, the study group received bilateral mental nerve block with bupivacaine postoperatively. Patients were examined in relation to pain severity and opioid analgesic drug need sequences. Results. The study group needed significantly less opioid than the control group (P<0.01, U=141). The control and study groups were different in first opioid administration time. The control and study groups received first opioid dose in 0-2 and 2-4 hours, respectively. Conclusion. Bilateral mental nerve blocks with bupivacaine can reduce opioid analgesic need and it has a positive effect on postoperative pain control in mandibular symphyseal fractures.
authors.affiliation: Associate Professor, Department of Oral and MaxilloFacial Surgery, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Ali Hossein
authors.initials: AH
authors.lastname: Mesgarzadeh
authors.affiliation: Oral and Maxillofacial Surgeon, Private Practice, Tehran, Iran.
authors.forename: Hosein
authors.initials: H
authors.lastname: Afsari
authors.affiliation: Assistant Professor, Department of Orthodontics, Faculty of Dentistry, Ardebil University of Medical Sciences, Ardebil, Iran.
authors.forename: Sohrab
authors.initials: S
authors.lastname: Pourkhamne
authors.affiliation: Post-graduate Student, Department of Orthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.
authors.forename: Mohamadreza
authors.initials: M
authors.lastname: Shahamfar
keywords: Bupivacaine; mandibular fracture; pain