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下颌神经及其终末分支的神经阻滞麻醉:不同麻醉技术的原理,包括其优缺点。

Neural blockade anaesthesia of the mandibular nerve and its terminal branches: rationale for different anaesthetic techniques including their advantages and disadvantages.

作者信息

Khoury Jason, Townsend Grant

机构信息

School of Dentistry, The University of Adelaide, Adelaide, SA 5005, Australia.

出版信息

Anesthesiol Res Pract. 2011;2011:307423. doi: 10.1155/2011/307423. Epub 2011 May 25.

DOI:10.1155/2011/307423
PMID:21716730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3119427/
Abstract

Anaesthesia of structures innervated by the mandibular nerve is necessary to provide adequate pain control when performing dental and localised surgical procedures. To date, numerous techniques have been described and, although many of these methods are not used routinely, there are some situations where their application may be indicated. Patient factors as well as anatomical variability of the mandibular nerve and associated structures dictate that no one technique can be universally applied with a 100% success rate. This fact has led to a proliferation of alternative techniques that have appeared in the literature. This selective review of the literature provides a brief description of the different techniques available to the clinician as well as the underlying anatomy which is fundamental to successfully anaesthetising the mandibular nerve.

摘要

在进行牙科及局部外科手术时,为实现充分的疼痛控制,对由下颌神经支配的结构进行麻醉是必要的。迄今为止,已有众多技术被描述,尽管其中许多方法并非常规使用,但在某些情况下可能需要应用。患者因素以及下颌神经和相关结构的解剖变异表明,没有一种技术能以100%的成功率被普遍应用。这一事实导致了文献中出现了大量替代技术。本文献的选择性综述简要描述了临床医生可采用的不同技术以及成功麻醉下颌神经所必需的基础解剖结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/7f543aca37fd/ARP2011-307423.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/38f8cd628557/ARP2011-307423.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/a65c046ce9f1/ARP2011-307423.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/b4218faaffd5/ARP2011-307423.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/269fc480c9ba/ARP2011-307423.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/f393b809aff4/ARP2011-307423.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/7f543aca37fd/ARP2011-307423.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/38f8cd628557/ARP2011-307423.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/a65c046ce9f1/ARP2011-307423.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/b4218faaffd5/ARP2011-307423.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/269fc480c9ba/ARP2011-307423.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/f393b809aff4/ARP2011-307423.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d60/3119427/7f543aca37fd/ARP2011-307423.006.jpg

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2
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J Oral Maxillofac Surg. 2009 Dec;67(12):2609-16. doi: 10.1016/j.joms.2009.07.042.
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