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下颌孔短针阻滞麻醉

Short-needle block anesthesia at the mandibular foramen.

作者信息

Menke R A, Gowgiel J M

出版信息

J Am Dent Assoc. 1979 Jul;99(1):27-30. doi: 10.14219/jada.archive.1979.0214.

DOI:10.14219/jada.archive.1979.0214
PMID:287726
Abstract

Thirty-five cadavers were studied to determine the depth of penetration of the needle from the oral mucous membrane to the inferior alveolar nerve at the mandibular foramen. The depth of penetration at the narrowest anteroposterior width of the ramus and pterygotemporal depression was determined to be half the narrowest anteroposterior width of the ramus plus or minus 1 mm. This depth was within the limits of a short needle. It was easier to estimate the depth of penetration with a short needle than with a long needle. A short needle also was less likely to go too deep and deviate from its course than was a long needle.

摘要

对35具尸体进行研究,以确定从口腔黏膜至下颌孔处下牙槽神经的进针深度。在升支最窄的前后径宽度处及翼颞凹陷处的进针深度被确定为升支最窄前后径宽度的一半加减1毫米。此深度在短针的范围内。与长针相比,使用短针更容易估计进针深度。短针也比长针更不容易进针过深并偏离其路径。

相似文献

1
Short-needle block anesthesia at the mandibular foramen.下颌孔短针阻滞麻醉
J Am Dent Assoc. 1979 Jul;99(1):27-30. doi: 10.14219/jada.archive.1979.0214.
2
The significance of needle bevel orientation in achieving a successful inferior alveolar nerve block.针头斜面方向在成功实施下牙槽神经阻滞中的意义。
J Am Dent Assoc. 2006 Dec;137(12):1685-91. doi: 10.14219/jada.archive.2006.0114.
3
The Gow-Gates technique for mandibular block anesthesia. A discussion and a mathematical analysis.下颌阻滞麻醉的Gow-Gates技术:讨论与数学分析
Anesth Prog. 1987 Jul-Aug;34(4):142-9.
4
Inferior alveolar nerve block using the internal oblique ridge.使用内斜线进行下牙槽神经阻滞。
J Am Dent Assoc. 1998 Aug;129(8):1147-8. doi: 10.14219/jada.archive.1998.0392.
5
The significance of needle deflection in success of the inferior alveolar nerve block in patients with irreversible pulpitis.不可逆性牙髓炎患者下牙槽神经阻滞成功中针头偏斜的意义。
J Endod. 2003 Oct;29(10):630-3. doi: 10.1097/00004770-200310000-00004.
6
Mandibular block success rate in relation to needle insertion and position: a self-report survey.下颌阻滞成功率与进针及位置的关系:一项自我报告调查。
Eur Arch Paediatr Dent. 2014 Apr;15(2):121-6. doi: 10.1007/s40368-013-0073-0. Epub 2013 Aug 6.
7
The use of ultrasound for guiding needle placement for inferior alveolar nerve blocks.超声用于引导下牙槽神经阻滞的进针定位。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Jun;87(6):658-65. doi: 10.1016/s1079-2104(99)70156-3.
8
Delivering painless and effective inferior alveolar nerve block anaesthesia.提供无痛且有效的下牙槽神经阻滞麻醉。
J Ir Dent Assoc. 2014 Oct-Nov;60(5):230-2.
9
Comparative study of different syringes in positive aspiration during inferior alveolar nerve block.下牙槽神经阻滞时不同注射器在回抽阳性方面的比较研究
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Nov;88(5):557-60. doi: 10.1016/s1079-2104(99)70085-5.
10
A new approach to the mandibular nerve block.下颌神经阻滞的一种新方法。
Br J Oral Surg. 1977 Jul;15(1):83-7. doi: 10.1016/0007-117x(77)90011-7.

引用本文的文献

1
Effective anaesthesia when treating teeth affected by molar incisor hypomineralisation (MIH): a systematic review.治疗受磨牙切牙矿化不全(MIH)影响牙齿时的有效麻醉:一项系统评价
Eur Arch Paediatr Dent. 2025 May 30. doi: 10.1007/s40368-025-01057-y.
2
A simple method to locate mandibular foramen with cone-beam computed tomography and its relevance to oral and maxillofacial surgery: a radio-anatomical study.一种利用锥形束计算机断层扫描定位下颌孔的简单方法及其与口腔颌面外科的相关性:一项放射解剖学研究。
Surg Radiol Anat. 2018 Jun;40(6):625-634. doi: 10.1007/s00276-018-2015-3. Epub 2018 May 8.
3
Clinical evaluation of the Gow-Gates block in children.
儿童Gow-Gates阻滞的临床评估
Anesth Prog. 1981 Jul-Aug;28(4):106-9.
4
Comparison of inferior dental nerve block injections in child patients using 30-gauge and 25-gauge short needles.使用30号和25号短针在儿童患者中进行下牙槽神经阻滞注射的比较。
Anesth Prog. 1987 Nov-Dec;34(6):215-9.