Ultrasound-guided maxillary and inferior alveolar nerve blocks for postoperative analgesia in gnathoplasty

Kumita, Sho; Murouchi, Takeshi; Arakawa, Johji

doi:10.1016/j.aja.2017.11.001

Cited by 17 publications

(7 citation statements)

References 4 publications

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“…In a recent study, Kumita et al suggested that ultrasound-guided IANB was highly effective in perioperative analgesia in cases of gnathoplasty [7]. Another recent study found that ultrasound-guided IANB was useful in the perioperative management of patients undergoing mandibular sequestrectomy for medicationrelated osteonecrosis of the jaw [8].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

et al. 2020

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Background Temporomandibular disorder (TMD) is a broad term that encompasses pain and/or dysfunction of the masticatory musculature and TM joints (TMJs). When TMD becomes a chronic condition, the symptoms are extremely difficult to manage and require multiple interventions. Case presentation A woman in her 50s developed TMD after a traffic accident 30 years ago. The patient presented with severe trismus due to TMJ pain and a maximum mouth opening of 20 mm. Ultrasound-guided inferior alveolar nerve block (IANB) was performed with ropivacaine. After IANB, the pain during mouth opening subsided and the maximum mouth opening improved to 40 mm. Dental treatment could be performed without difficulty and the patient could keep her mouth open throughout the treatment. Conclusions Treatments for chronic TMD are limited and it is necessary to identify the precise etiology before choosing a treatment option. In this patient, ultrasound-guided IANB proved to be effective in relieving TMD-related trismus.

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Section: Discussionmentioning

confidence: 99%

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

et al. 2020

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“…In a recent study, Kumita et al suggested that ultrasound-guided IANB was highly effective for perioperative analgesia in cases of gnathoplasty. 5 Another recent study found that ultrasound-guided IANB was useful in the perioperative management of patients undergoing mandibular sequestrectomy for medication-related osteonecrosis of the jaw. 6 Our results demonstrate that IANB provided effective pain control for 72 hours.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders: A Case Report

Kojima

Sendo

Ohno

et al. 2020

Preprint

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Background: Temporomandibular disorder (TMD) is a broad term that encompasses pain and/or dysfunction of the masticatory musculature and TM joints (TMJs). Its most important feature is pain, followed by limited jaw movement, and joint sounds. When it progresses to a chronic condition, the symptoms are extremely difficult to manage, often requiring multiple interventions. Case presentation: Our patient, a woman in her 50s, developed TMD after a traffic accident that occurred 30 years previously. The patient presented with severe trismus due to TMJ pain (maximum mouth opening was 20 mm). She was scheduled to undergo extraction of a right lower molar and three upper anterior teeth owing to progressing caries. However, it was anticipated that the treatment would be difficult since the patient could not open her mouth adequately. Therefore, we considered relieving the trismus to facilitate dental treatment. Based on the findings, the cause of the TMD was considered to be pain in the masticatory muscles during mouth opening. Ultrasound-guided inferior alveolar nerve block (IANB) was performed on both sides using ropivacaine. Three minutes after the IANB, the pain during mouth opening disappeared and the maximum mouth opening improved to 40 mm. Dental treatment could be performed without difficulty, and the patient could maintain the mouth open throughout the treatment.Conclusions: Treatment methods for chronic TMD are limited and it is necessary to consider the exact aetiology before deciding upon a treatment option. In our case, ultrasound-guided IANB proved to be an effective modality for relieving TMD-related trismus.

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“…Thereafter, the masseter and lateral pterygoid muscles were observed. The space between them is the pterygomandibular space (PMS), which contains the inferior alveolar nerve and the peripheral branches of the mandibular nerve [ 8 ]. A 22 G needle was inserted to reach the PMS near the inferior alveolar nerve using the extraoral approach ( Figure 1 ).…”

Section: Case Presentationmentioning

confidence: 99%

Jaw Manipulation Using Ultrasound-Guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders

Kojima

Sendo

2022

Case Reports in Dentistry

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Temporomandibular disorders are a group of disorders with symptoms that include pain and clicking sounds in the temporomandibular joint and restricted mouth opening. For the treatment of temporomandibular disorders with trismus, herein, we suggest a new approach: “jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique.” A woman in her 60s developed temporomandibular disorders and presented with severe trismus owing to pain in the temporomandibular joint. Ultrasound-guided inferior alveolar nerve block was performed with ropivacaine, which relieved the pain in the patient. Furthermore, we performed jaw manipulation for trismus. Since the analgesic effect lasts for 3 days, self-training can be performed while the pain is relieved. After five sessions of “jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique,” trismus significantly improved in this patient. Ultrasound-guided inferior alveolar nerve block can be effective in relieving temporomandibular disorder-related pain and trismus.

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Ultrasound-guided maxillary and inferior alveolar nerve blocks for postoperative analgesia in gnathoplasty

Cited by 17 publications

References 4 publications

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

Ultrasound-guided inferior alveolar nerve block for trismus during dental treatment: a case report

Ultrasound-guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders: A Case Report

Jaw Manipulation Using Ultrasound-Guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders

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