Technique of Choice to Anesthetize Mandibular Nerve in Case of Maxillofacial Fractures

Abstract

Achieving optimum pain control and anesthesia in maxillofacial fracture trauma individuals will be difficult in some scenarios because of change in position of landmarks due to fracture, trismus, and noncompliant nature of patient due to pain. We did a comparative evaluation of efficiency of inferior alveolar nerve block (IANB) and Vazirani-Akinosi closed mouth nerve block technique to anesthetize the inferior alveolar nerve in trauma patients with trismus and concluded that IANB is superior to Vazirani-Akinosi in terms of onset and efficacy but its application in trauma patients with reduced mouth opening is limited and Vazirani-Akinosi will be the technique of choice in case of such scenarios.