Robiony M, Demitri V, Costa F, Politi M
Cattedra di Chirurgia Maxillofacciale, Università degli Studi, Udine.
Minerva Stomatol. 1999 Jan-Feb;48(1-2):9-14.
Personal experience in percutaneous maxillary nerve block anesthesia in association with transmucosal anesthesia of the sphenopalatine ganglion in oral and maxillofacial surgery, is presented.
Six Caldwell-Luc, 9 anthrotomies and biopsies of maxillary sinus, 8 removals of extensive odontogenic cysts and 12 surgical maxillary expansions were performed from 1994 to 1996 at our Department. Maxillary transcutaneous nerve block in association with transmucosal anesthesia of the sphenopalatine ganglion were performed. Carbocaine without adrenaline in association with NaCO3 1/10 for maxillary nerve block anesthesia and lidocaineoprilocaine cream (EMLA) for transmucosal anesthesia were employed. Intra- and post-operative pain were evaluated by visual analogue scale in all the patients.
Anesthesiological procedures revealed to be effective in all surgical interventions and postoperative analgesia allowed easier pain control.
The simplicity of execution, the effective pre- and postoperative anesthesia and the absence of side effects make this procedure particularly indicated in oral and maxillofacial surgery.
介绍了在口腔颌面外科手术中，经皮上颌神经阻滞麻醉联合蝶腭神经节黏膜下麻醉的个人经验。
1994年至1996年，在我们科室进行了6例柯-陆氏手术、9例上颌窦切开术及活检、8例广泛牙源性囊肿摘除术和12例上颌骨手术扩大术。采用上颌经皮神经阻滞联合蝶腭神经节黏膜下麻醉。上颌神经阻滞麻醉采用不含肾上腺素的卡波卡因与1/10的碳酸氢钠混合，黏膜下麻醉采用利多卡因丙胺卡因乳膏（EMLA）。所有患者均通过视觉模拟评分法评估术中和术后疼痛。
麻醉操作在所有手术干预中均显示有效，术后镇痛使疼痛控制更加容易。
该操作简单，术前后麻醉效果良好且无副作用，使其特别适用于口腔颌面外科手术。
