Ultrasound-guided Maxillary and Mandibular Nerve Blocks for Orthognathic Surgery in a Patient with Loeys-Dietz Syndrome

Abstract

  The use of ultrasound-guided mandibular and maxillary nerve blocks during gnathoplasty is a recent development. In this report, we describe infrazygomatic approaches using out-of-plane needling to perform ultrasound-guided mandibular and maxillary nerve blocks. We also explain the advantages of mandibular and maxillary nerve blocks when applied in conjunction with general anesthesia to achieve stable hemodynamic control in a patient with LDS undergoing orthognathic jaw surgery.