Role of Superficial Cervical Plexus Nerve Block as an Adjuvant to Local Anesthesia in the Maxillofacial Surgical Practice

Kende, Prajwalit; Wadewale, Maroti; Mathai, Paul; Landge, Jayant; Desai, Harsh; Nimma, Vijayalaxmi

doi:10.1016/j.joms.2021.05.005

Cited by 3 publications

(3 citation statements)

References 20 publications

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“…A similar result was reported by Kanthan et al in their study [12,13]. Other researchers also studied the effect of SCPB in perimandibular and fasciomaxillary surgeries and found SCPB to be more effective [14][15][16].…”

Section: Discussionsupporting

confidence: 81%

Evaluating the Analgesic Efficacy of Superficial Cervical Plexus Block for Head and Neck Surgeries: A Comparative Randomized Control Study

Patel,

Shah,

Syed

et al. 2023

Cureus

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Introduction: In the present study, the advantages of superficial cervical plexus block (SCPB) were evaluated using a landmark-guided method. Our primary aim was to evaluate the analgesic efficacy of SCPB in various head and neck surgeries by observing intra- and postoperative requirements of the total dose of the systemic analgesic, visual analog scale (VAS) score, and the total duration of analgesia; vital parameters and associated perioperative complications were also observed. Materials and methods: Sample size was calculated using reference by taking the parameter pain score at 12 hours using MedCalc software v. 19.5.1 (MedCalc Software, Ostend, Belgium) with a mean difference of score 3±3.5 between two groups, 80% power, and 95% confidence interval (CI); the sample size for each group was 21. There were 30 patients in each group of ASA I, II, and III who were posted for mandibular, tympanomastoid and clavicular surgeries. Group A received general anaesthesia with systemic analgesia and Group B received general anaesthesia followed by SCPB with an injection of bupivacaine 0.25% 10ml on each side according to the site of surgery. VAS score, intra and postoperative analgesic requirement in 24 hours, time of first demand bolus, and peri-operative complications were noted. Results: Intraoperative fentanyl requirement for group A was 97.5±13.75 µg as compared to group B (70.16±13.09 µg), postoperative injection paracetamol requirement was also significantly higher in group A (2566.66±504 mg) as compared to group B (833.33±874.28 mg). The total duration of analgesia was significantly higher in Group B (1191.33±375.36 min) as compared to Group A (122.0±50.88 min) with a p-value <0.0001. No significant complications were noted in any patient. Conclusion: SCPB provides better perioperative analgesia by decreasing intraoperative as well as postoperative systemic analgesic requirements and their associated side effects, with no significant perioperative complications in various head and neck region surgeries.

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Section: Discussionsupporting

confidence: 81%

Evaluating the Analgesic Efficacy of Superficial Cervical Plexus Block for Head and Neck Surgeries: A Comparative Randomized Control Study

Patel,

Shah,

Syed

et al. 2023

Cureus

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“…In the present study, intraspinal nerve block anesthesia was associated with a higher body temperature at 4 h and 5 h after analgesia and more cases of intrapartum fever versus no anesthesia, indicating a negative impact of intraspinal nerve block anesthesia on maternal body temperature during labor [ 16 ]. The benefits of labor analgesia include no interference with the safety of the mother and fetus, no disruption of labor and contractions, simple administration, fast onset of action, and participation of the pregnant woman in the whole process of labor [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Impact of Intraspinal Nerve Block Anesthesia on Intrapartum Fever and the Neonate

Wang

Chang

Chen

2022

Evidence-Based Complementary and Alternative Medicine

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Objective. To evaluate the impact of intraspinal nerve block anesthesia on intrapartum fever and the neonate. Methods. In this prospective study, between October 2019 and December 2020, 90 eligible primiparous women enrolled in the obstetrics and gynecology department of our hospital for delivery were recruited and assigned via the random number table method at a ratio of 1 : 1 to either an analgesic group given intraspinal nerve block anesthesia for labor or a nonanalgesic group without anesthesia for labor. Outcome measures included intrapartum body temperature, cases of intrapartum fever, Apgar scores of neonates, visual analogue scale (VAS) scores, delivery mode, and indomethacin use. Results. Intraspinal nerve block anesthesia was associated with a higher body temperature at 4 h and 5 h after analgesia and more cases of intrapartum fever versus no anesthesia ( P < 0.05 ). There were no significant differences in the Apgar scores between the two groups ( P > 0.05 ). Participants given intraspinal nerve block anesthesia had lower VAS scores during labor versus those without anesthesia ( P < 0.05 ). The differences in the delivery mode between the two groups were not significant ( P > 0.05 ). Intraspinal nerve block anesthesia resulted in a significantly higher demand for indomethacin versus no anesthesia ( P < 0.05 ). Conclusion. Intraspinal nerve block anesthesia is clinically effective in labor analgesia but may cause increased body temperature or even overt clinical fever, so close clinical observation of maternal temperature changes is required to mitigate the effects of anesthesia on the mothers. No adverse consequences of intraspinal nerve block anesthesia on the newborns were reported in this study.

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“…It has been used in the field of oral and maxillofacial surgery (OMFS) for the surgical evacuation of an abscess in the perimandibular region as well as the stitching of skin in the appropriate dermatome and the treatment of superficial wounds. [ 23 ] Because it is easy to learn and has a low rate of problems, the superficial cervical plexus nerve block [SCPNB] method is routinely utilised throughout head and neck surgery. The examination of this technique may result in better treatment outcomes for common maxillofacial conditions such mandibular fractures and odontogenic area infections.…”

Section: Discussionmentioning

confidence: 99%

SCPNB is an adjuvant to local anaesthesia for maxillofacial surgical practice

Kumar

2023

Bioinformation

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The superficial cervical plexus nerve block [SCPNB] procedure is frequently used throughout head and neck surgery because it is simple to learn and has a low rate of complications. The investigation of this method might produce superior outcomes in treating frequent maxillofacial disorders including mandibular fractures and infections of the odontogenic region. The SCPNB is known to play a part in the medical evacuation of head and neck abscesses, the excision of superficial diseases in the perimandibular region, and the therapy of mandibular fracture, despite the dearth of research in this area. Considering this background, it was expected that the SCPNB might be helpful as an adjuvant to regional anaesthesia in maxillofacial surgery. The purpose of this study was to assess the effectiveness of the SCPNB in the treatment of mandibular fractures and infectious diseases in the perimandibular area. 48 patients with either submandibular space infections or mandibular injuries who were anticipated for surgical procedure under regional anaesthesia participated in a prospective randomized clinical study (eg, inferior alveolar nerve block, long buccal nerve block). Administering a combination of a local infiltration and regional anaesthesia was used as the control group. Regional anaesthesia and a SCPNB were administered to the intervention class. The following factors were examined: pain, anaesthesia's duration and onset, waiting period before initial analgesic demand, pulse rate, and blood pressure. The unpaired t-test was used to compare groups. Multiple variables ANOVA (for more than two observations) was used for intragroup analysis, accompanied by a post-hoc analysis of variance. In aspects of intra - operative pain at thirty minutes, time required of anaesthesia, intraoperative anesthetic necessity, duration until first analgesic recommendation, and intra - operative diastolic arterial blood pressure at ten minutes, the SCPNB group demonstrated a substantial (P ≤.01) improved performance. It can be concluded that the use of a regional anaesthetic approach in conjunction with a SCPNB is a good substitute to localized infiltration for patients having surgery for fracture of mandible and perimandibular area infections.

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Role of Superficial Cervical Plexus Nerve Block as an Adjuvant to Local Anesthesia in the Maxillofacial Surgical Practice

Cited by 3 publications

References 20 publications

Evaluating the Analgesic Efficacy of Superficial Cervical Plexus Block for Head and Neck Surgeries: A Comparative Randomized Control Study

Evaluating the Analgesic Efficacy of Superficial Cervical Plexus Block for Head and Neck Surgeries: A Comparative Randomized Control Study

Impact of Intraspinal Nerve Block Anesthesia on Intrapartum Fever and the Neonate

SCPNB is an adjuvant to local anaesthesia for maxillofacial surgical practice

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