학술논문

Role of bilateral suprazygomatic maxillary nerve block in primary surgery for soft palate cleft and soft-hard palate cleft.
Document Type
Article
Source
Pediatric Anesthesia & Critical Care Journal (PACCJ). 2015, Vol. 3 Issue 2, p111-117. 7p.
Subject
*SOFT palate
*NERVE block
*PALATE surgery
Language
ISSN
2281-8421
Abstract
Introduction Bilateral suprazygomatic maxillary nerve block seems to play an important role in clinical tolerance and postoperative management of primary cleft palate surgery. Objective Study the use of bilateral suprazygomatic maxillary nerve block in the global management of primary closing surgery of cleft palates. Materials and methods Monocenter, retrospective study evaluating general anesthesia (GA) vs. bilateral suprazygomatic maxillary nerve block under sedation in primary surgery of cleft palate. Postoperative management, anesthetic parameters and hospital analgesia were analyzed. Results 49 patients (23 GA vs. 26 LRA) were included (mean age = 13.5 months). The postoperative anesthetic time is significantly reduced, just like the use of morphine during surgery and Step II analgesics post-surgery in the LRA group. Conclusion Anesthetic management associating sedation and bilateral suprazygomatic maxillary nerve block is highly relevant in the care management of cleft palates. [ABSTRACT FROM AUTHOR]