Mental Nerve Blocks for Lip Brachytherapy: A Case Report

Abstract

High dose rate interstitial brachytherapy is a commonly performed procedure for carcinoma of the lower lip. Placement of the brachytherapy catheters can be painful and may require monitored anesthesia care or general anesthesia. We present the use of bilateral mental nerve blocks with minimal sedation to facilitate placement of brachytherapy catheters.

Anesthesia Techniques in Brachytherapy

“…[17] Sedation-local anesthesia combination or general anesthesia can be applied in lower lip carcinomas, but it can be applied with mental block. [18] Brachytherapy applications have been reported with hypnosedation, albeit in rare cases. [19] How Do We Decide?…”