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- Title
Combined use of infraorbital and external nasal nerve blocks for effective perioperative pain control during and after cleft lip repair.
- Authors
Salloum, Mariah L; Eberlin, Kyle R; Sethna, Navil; Hamdan, Usama S
- Abstract
Perioperative analgesia in patients undergoing cleft lip and palate repair is complicated by the risk of postoperative airway obstruction. We describe a technique of combined infraorbital and external nasal nerve blocks to reduce the need for opioid analgesia. Using this technique, we have successfully performed cleft lip repair under local anesthesia alone, without general anesthesia or intravenous sedation, in adolescents and adults. In children, this technique can reduce the need for postoperative opioids. We describe this novel analgesic approach to decrease opioid requirements and minimize perioperative risk.
- Publication
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 2009, Vol 46, Issue 6, p629
- ISSN
1055-6656
- Publication type
Journal Article
- DOI
10.1597/08-142.1