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口内下牙槽神经阻滞麻醉

Intraoral second division nerve block.

作者信息

Mercuri L G

出版信息

Oral Surg Oral Med Oral Pathol. 1979 Feb;47(2):109-13. doi: 10.1016/0030-4220(79)90161-0.

DOI:10.1016/0030-4220(79)90161-0
PMID:284271
Abstract

The second division of the trigeminal nerve can be easily blocked by the intraoral route. The technique presented involves entering the greater palatine foramen, traversing the pterygopalatine canal with a needle, and depositing the local anesthetic solution into the superior aspect of the pterygopalatine fossa, where the trunk of the second division lies after the nerve exits the foramen rotundum. The indications, contraindications, technique, and anatomic considerations are presented. This is followed by a discussion of the possible complications as well as their prevention and remedy should they occur. While this is not a new technique, it as been a forgotten one.

摘要

三叉神经的第二分支可通过口内途径轻松阻滞。所介绍的技术包括进入腭大孔,用针穿过翼腭管,并将局部麻醉溶液注入翼腭窝的上侧,第二分支的主干在神经穿出圆孔后位于此处。文中介绍了适应证、禁忌证、技术及解剖学注意事项。随后讨论了可能出现的并发症以及出现并发症时的预防和补救措施。虽然这不是一项新技术,但却是一项被遗忘的技术。

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1
Intraoral second division nerve block.口内下牙槽神经阻滞麻醉
Oral Surg Oral Med Oral Pathol. 1979 Feb;47(2):109-13. doi: 10.1016/0030-4220(79)90161-0.
2
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[Anesthesia of the nasopalatine nerve of Scarpa and anterior superior alveolar branches through the anterior palatal foramen].经腭前孔对斯卡帕鼻腭神经及上牙槽前支进行麻醉
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6
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Aust Dent J. 1991 Feb;36(1):15-21. doi: 10.1111/j.1834-7819.1991.tb00802.x.

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Surg Radiol Anat. 2019 May;41(5):551-567. doi: 10.1007/s00276-019-02179-x. Epub 2019 Jan 8.
2
Infraorbital Foramen and Pterygopalatine Fossa Location in Dry Skulls: Anatomical Guidelines for Local Anesthesia.干颅骨中眶下孔和翼腭窝的位置:局部麻醉的解剖学指南
Anat Res Int. 2017;2017:1403120. doi: 10.1155/2017/1403120. Epub 2017 Dec 19.
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翼腭窝注射肾上腺素在功能性鼻内镜鼻窦手术中改善手术视野是否有效?
Indian J Otolaryngol Head Neck Surg. 2017 Dec;69(4):464-473. doi: 10.1007/s12070-017-1225-z. Epub 2017 Oct 10.
4
Morphometric study of the greater palatine canal: cone-beam computed tomography.腭大管的形态测量研究:锥形束计算机断层扫描
Surg Radiol Anat. 2015 Dec;37(10):1217-24. doi: 10.1007/s00276-015-1511-y. Epub 2015 Jun 24.
5
Computed tomography morphometric analysis of the greater palatine canal: a study of 1,500 head CT scans and a systematic review of literature.腭大管的计算机断层扫描形态计量分析:一项对1500例头部CT扫描的研究及文献系统综述
Anat Sci Int. 2015 Sep;90(4):287-97. doi: 10.1007/s12565-014-0263-9. Epub 2014 Dec 3.
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Anatomical landmarks for the localization of the greater palatine foramen--a study of 1200 head CTs, 150 dry skulls, systematic review of literature and meta-analysis.腭大孔定位的解剖标志——一项对1200例头部CT、150个干燥颅骨的研究、文献系统综述及荟萃分析
J Anat. 2014 Oct;225(4):419-35. doi: 10.1111/joa.12221. Epub 2014 Aug 5.
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Local Reg Anesth. 2010;3:1-4. doi: 10.2147/lra.s6770. Epub 2010 Jan 29.
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