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Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review.比较数字评分量表、语言评分量表和视觉模拟量表评估成人疼痛强度的研究：系统文献回顾。
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Comparison of the anesthetic efficacy of the conventional inferior alveolar, Gow-Gates, and Vazirani-Akinosi techniques.传统下牙槽神经阻滞麻醉、Gow-Gates麻醉及Vazirani-Akinosi麻醉技术的麻醉效果比较。
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Mandibular nerve blocks for the removal of dentures during trismus caused by tetanus.用于在破伤风引起的牙关紧闭期间取出假牙的下颌神经阻滞。
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Deep block anesthesia of the maxillary and mandibular divisions of the trigeminal nerve.三叉神经上颌支和下颌支的深部阻滞麻醉
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Continuous mandibular nerve block for pain relief. A report of two cases.连续下颌神经阻滞用于缓解疼痛。两例报告。
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Long-term pain control in trigeminal neuralgia with local anesthetics using an indwelling catheter in the mandibular nerve.使用下颌神经留置导管局部麻醉药对三叉神经痛进行长期疼痛控制。
Clin J Pain. 2002 May-Jun;18(3):196-9. doi: 10.1097/00002508-200205000-00010.
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Mandibular nerve block treatment for trismus associated with hypoxic-ischemic encephalopathy.
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From cocaine to ropivacaine: the history of local anesthetic drugs.从可卡因到罗哌卡因：局部麻醉药物的历史。
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口外与口内下颌神经阻滞在牙弓夹板固定治疗下颌骨折中的疗效比较研究

A Comparative Study of Efficacy for Extra-Oral vs. Intra-Oral Mandibular Nerve Block in Arch Bar Fixation for Management of Mandibular Fractures.

作者信息

Gupta Monika, Nazir Aaquib, Sharma Atul, Bali Amit

机构信息

MDS (Oral and Maxillofacial Surgery), Maharishi Markandeshwar College of Dental Sciences and Research, Mullana, Ambala, Haryana 133207 India.

出版信息

J Maxillofac Oral Surg. 2024 Oct;23(5):1182-1189. doi: 10.1007/s12663-024-02306-1. Epub 2024 Aug 17.

DOI:10.1007/s12663-024-02306-1
PMID:39376763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11456107/
Abstract

PURPOSE

The aim of the study was to evaluate and compare the efficacy of extra-oral mandibular nerve block (infra-zygomatic approach/lateral approach) vs. intra-oral (Gow-Gates) mandibular nerve block in arch bar fixation for management of mandibular fractures.

METHODOLOGY

A total of 200 patients reported with maxillofacial fractures. Out of them, 50 patients who required arch bar fixation for management of mandibular fractures were divided into two groups: Group I: Extra-oral and Group II: Intra-oral mandibular nerve blocks. The intra-operative pain, time of onset of anaesthesia, volume of drug administered, depth of needle insertion, repetition of injections and postoperative complications were analysed.

RESULTS

In Group I (Extra-oral nerve block), the time of onset of anaesthesia, volume of anaesthesia administered, needle depth, number of repetition of injections and postoperative complications were more as compared to Group II. No significant difference was observed in intra-operative pain score between two groups.

CONCLUSION

Intra-oral approach with Gow-Gates technique seemed to be efficient and easy to operate as compared to extra-oral approach, for arch bar fixation of mandibular fractures in an output door setting, as extra-oral approach is more technique-sensitive and may lead to certain complications which require operation theatre setting with medical attention.

摘要

目的

本研究旨在评估并比较口外下颌神经阻滞（颧下途径/外侧途径）与口内（Gow-Gates）下颌神经阻滞在颌骨骨折牙弓夹板固定术中的疗效。

方法

共有200例颌面骨折患者前来就诊。其中，50例需要进行牙弓夹板固定术治疗下颌骨折的患者被分为两组：第一组：口外组；第二组：口内下颌神经阻滞组。分析术中疼痛、麻醉起效时间、给药量、进针深度、注射次数及术后并发症。

结果

与第二组相比，第一组（口外神经阻滞）的麻醉起效时间、麻醉给药量、进针深度、注射次数及术后并发症更多。两组术中疼痛评分无显著差异。

结论

在门诊环境下，对于下颌骨折的牙弓夹板固定术，与口外途径相比，采用Gow-Gates技术的口内途径似乎更有效且易于操作，因为口外途径对技术要求更高，可能会导致某些并发症，需要在手术室环境并接受医疗护理。