2020 Volume 27 Issue 1 Pages 79-82
In recent years, the ultrasound-guided maxillary and mandibular nerve block technique has received increasing attention. A 21-year-old woman underwent orthognathic surgery of the maxilla and mandible for distortion of the face. Ultrasound-guided maxillary and mandibular bilateral nerve blocks were performed under general anesthesia. At the time of wound closure, intravenous acetaminophen and intravenous patient-controlled analgesia (IV-PCA) were administered. During the surgery, there were no significant changes in the blood pressure or pulse rate. After surgery, the patient did not complain of pain for 32 hours under continuous IV-PCA alone. In this technique, the anatomy of the temporal region can be visualized with ultrasound, and the local anesthetic is infiltrated into the nerve with a lateral pterygoid plate approach. Therefore, there're reports that the use of ultrasonic devices is safer and more accurate than the landmark method. We considered that this patient was a good candidate for analgesia using this technique, and we were able to achieve adequate perioperative analgesia.
