1,896 results match your criteria Nerve Block Oral


What Pain Levels Do TSA Patients Experience When Given a Long-acting Nerve Block and Multimodal Analgesia?

Clin Orthop Relat Res 2019 Mar;477(3):622-632

J. T. YaDeau, S. S. Liu, M. A. Gordon, E. A. Goytizolo, Y. Lin, A. A. Schweitzer, Department of Anesthesiology, Critical Care and Pain Management Hospital for Special Surgery, New York, NY, USA D. M. Dines, L. V. Gulotta, Department of Orthopedic Surgery, Sports Medicine, Hospital for Special Surgery, New York, NY, USA K. G. Fields, Healthcare Research Institute, Hospital for Special Surgery, New York, NY, USA.

Background: The pain experience for total shoulder arthroplasty (TSA) patients in the first 2 weeks after surgery has not been well described. Many approaches to pain management have been used, with none emerging as clearly superior; it is important that any approach minimizes postoperative opioid use.

Questions/purposes: (1) With a long-acting nerve block and comprehensive multimodal analgesia, what are the pain levels after TSA from day of surgery until postoperative day (POD) 14? (2) How many opioids do TSA patients take from the day of surgery until POD 14? (3) What are the PainOUT responses at POD 1 and POD 14, focusing on side effects from opioids usage?

Methods: From January 27, 2017 to December 6, 2017, 154 TSA patients were identified as potentially eligible for this prospective, institutional review board-approved observational study. Read More

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http://dx.doi.org/10.1097/CORR.0000000000000597DOI Listing
March 2019
1 Read

Transoral robotic surgery for the parapharyngeal space: expanding the transoral corridor.

J Robot Surg 2019 Feb 14. Epub 2019 Feb 14.

Department of Otolaryngology and Head and Neck Surgery, All India Institute of Medical Sciences, Teaching Block, 4th, Floor, New Delhi, 110029, India.

To analyze the feasibility, surgical outcomes and possible risks and complications encountered during transoral robotic surgery (TORS) for approaching parapharyngeal space (PPS) tumours, a retrospective cohort study was conducted. Out of 108 TORS procedures performed, 5 PPS tumours were identified from May 2011- November 2017. This study included 2 retrostyloid (benign nerve sheath tumour) and 3 prestyloid tumours (pleomorphic adenoma), of which one patient had previously undergone a transcervical approach for deep lobe of parotid pleomorphic adenoma. Read More

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http://link.springer.com/10.1007/s11701-019-00932-3
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http://dx.doi.org/10.1007/s11701-019-00932-3DOI Listing
February 2019
3 Reads

Case report: absence of the right piriformis muscle in a woman.

Surg Radiol Anat 2019 Feb 13. Epub 2019 Feb 13.

Chirurgia Plastica Ricostruttiva ed Estetica, Policlinico 'Paolo Giaccone' di Palermo, Palermo, Italy.

We report a very rare case of a unilaterally absent piriformis muscle in a 60 year old woman. Accompanying variations comprised a common gluteal artery (instead of two distinct superior and inferior gluteal arteries), and an absent gemellus inferior muscle. The contralateral left side showed a normally developed piriformis muscle. Read More

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http://dx.doi.org/10.1007/s00276-018-02176-6DOI Listing
February 2019

Ultrasound-guided Cervical Nerve Root Block for the Treatment of Acute Cervical Herpes Zoster: A Randomized-controlled Clinical Study.

Pain Pract 2019 Feb 7. Epub 2019 Feb 7.

Department of Anesthesiology, Central Hospital of China Aerospace Corporation, (Aerospace Clinical Medical School of Peking University), No 15 Yuquan Street, Haidian District, Beijing, China, 100049.

Objectives: To evaluate the efficacy and safety of ultrasound-guided cervical nerve root block (CRB) on acute pain and its preventive effects on post-herpetic neuralgia (PHN) in patients with cervical herpes zoster (HZ).

Methods: 140 recruiters were randomized 1:1 to receive ultrasound-guided CRB with either mixed drug liquid (treatment group) or similar looking placebo (placebo group). All patients received a 7-day course of oral antivirals treatment, pregabalin, and analgesics as needed. Read More

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http://dx.doi.org/10.1111/papr.12770DOI Listing
February 2019
1 Read

The Safety and Effectiveness of Superficial Cervical Plexus Block in Oral and Maxillofacial Surgery as an Alternative to General Anesthesia in Selective Cases: A Clinical Study.

J Maxillofac Oral Surg 2019 Mar 26;18(1):23-29. Epub 2017 Jun 26.

Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital Srinagar, Srinagar, Jammu and Kashmir India.

Aim: To assess the safety and effectiveness of superficial cervical plexus (SCP) block in oral and maxillofacial surgical (OMFS) practice as an alternative to general anesthesia in selective cases.

Subjects And Methods: The total number of patients was 10, out of which 6 were male and 4 were female patients. Five patients had incision and drainage of perimandibular space infections, two patients had enucleation of cyst in the body of mandible, one patient had open reduction and internal fixation isolated angle fracture, and two patients had submandibular lymph node biopsies. Read More

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http://dx.doi.org/10.1007/s12663-017-1029-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6328819PMC

Vertebral anomalies in craniofacial microsomia: a retrospective analysis of 991 patients.

Int J Oral Maxillofac Surg 2018 Nov 22;47(11):1365-1372. Epub 2018 Jun 22.

Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, USA.

Craniofacial microsomia (CFM) is characterized by an underdevelopment of the facial structures arising from the first and second branchial arches, but extracraniofacial anomalies such as vertebral anomalies may be present. This retrospective study was performed to determine the prevalence and types of vertebral anomalies and the association with other extracraniofacial anomalies in patients with CFM. The charts of all patients diagnosed with CFM seen in four craniofacial centres were reviewed for the presence of vertebral anomalies, symptoms, extracraniofacial anomalies, and the OMENS classification including the Pruzansky-Kaban type of mandibular deformity. Read More

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http://dx.doi.org/10.1016/j.ijom.2018.05.016DOI Listing
November 2018
1 Read

[Surgical treatment of proximal femoral fractures in high-risk geriatric patients under peripheral regional anesthesia : A clinical case series].

Authors:
R Seidel E Barbakow

Anaesthesist 2019 Feb 5;68(2):108-114. Epub 2019 Feb 5.

Klinik für Anästhesiologie, HELIOS-Kliniken Schwerin, Wismarsche Straße 393-7, 19049, Schwerin, Deutschland.

The authors describe in a clinical case series (n = 7) of older (age 78-95 years) high-risk patients the successful surgical treatment of proximal femoral fractures in a peripheral regional anesthesia technique. After positioning on the non-fractured side, a double injection technique (dual guidance concept: sonography plus nerve stimulation) was chosen. The injections were performed parasacrally (blockade of the sacral plexus under the piriformis muscle) and lumbar-paravertebrally (psoas compartment block and transmuscular quadratus lumborum block). Read More

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http://dx.doi.org/10.1007/s00101-019-0537-7DOI Listing
February 2019
2 Reads

Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study.

Anesth Prog 2018 ;65(4):231-236

Emeritus Associate Professor, Division of Biosciences, The Ohio State University, Columbus.

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. Read More

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http://dx.doi.org/10.2344/anpr-65-03-11DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318735PMC
January 2018
1 Read

Potassium bisperoxo (1,10-phenanthroline) oxovanadate suppresses proliferation of hippocampal neuronal cell lines by increasing DNA methyltransferases.

Neural Regen Res 2019 May;14(5):826-833

Biomedicine Research Center, Basic Medical College and Baotou Medical College of Neuroscience Institute; Inner Mongolia Key Laboratory of Hypoxic Translational Medicine, Baotou Medical College, Baotou, Inner Mongolia Autonomous Region; Beijing Key Laboratory of Hypoxic Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.

Bisperoxo (1,10-phenanthroline) oxovanadate (BpV) can reportedly block the cell cycle. The present study examined whether BpV alters gene expression by affecting DNA methyltransferases (DNMTs), which would impact the cell cycle. Immortalized mouse hippocampal neuronal precursor cells (HT22) were treated with 0. Read More

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http://dx.doi.org/10.4103/1673-5374.249230DOI Listing

Progressive reduction of hospital length of stay following minimally invasive repair of pectus excavatum: A retrospective comparison of three analgesia modalities, the role of addressing patient anxiety, and reframing patient expectations.

J Pediatr Surg 2018 Dec 28. Epub 2018 Dec 28.

Helen DeVos Children's Hospital/Spectrum Health/Michigan State University Department of Surgery, Grand Rapids, Michigan.

Purpose: Management of postoperative pain is a significant challenge following the Nuss procedure. Epidurals, PCAs, and newer analgesia modalities have been used elsewhere without demonstrating consistent improvement in the reported length of hospital stays (LOS). We reviewed a large single surgeon experience identifying three different methods of analgesia used over time to highlight marked improvement in patient LOS. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.12.003DOI Listing
December 2018
1 Read

Pain Management for Ambulatory Arthroscopic Anterior Cruciate Ligament Reconstruction: Evidence-Based Recommendations From the Society for Ambulatory Anesthesia.

Anesth Analg 2019 Jan 14. Epub 2019 Jan 14.

Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas.

Ambulatory arthroscopic anterior cruciate ligament reconstruction is associated with moderate pain, even when nonopioid oral analgesics such as acetaminophen and nonsteroidal anti-inflammatory drugs are used. Regional analgesia can supplement nonopioid oral analgesics and reduce postoperative opioid requirements, but the choice of regional analgesia technique for anterior cruciate ligament reconstruction remains controversial. Femoral nerve block, adductor canal block, and local instillation analgesia have all been proposed and are supported by some evidence from randomized controlled trials. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003976DOI Listing
January 2019
3 Reads

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery.

J Dent Anesth Pain Med 2018 Dec 28;18(6):339-347. Epub 2018 Dec 28.

Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.

Background: There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery.

Methods: This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.6.339DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6323038PMC
December 2018
4 Reads

Inpatient interventions that may preclude outpatient open pyeloplasty in infants.

Int Braz J Urol 2018 Dec 5;45. Epub 2018 Dec 5.

Department of Pediatric Urology, Children's Hospital Colorado, Denver, CO, United States.

Objective: In the majority of published series, children undergoing open pyeloplasty are admitted for at least one night. We hypothesized that it would be possible in the majority of infants to perform open pyeloplasty as an outpatient procedure.

Materials And Methods: All patients who underwent open pyeloplasty by a single surgeon between 2008 and 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0252DOI Listing
December 2018
5 Reads

Student-to-Student Dental Local Anesthetic Preclinical Training: Impact on Students' Confidence and Anxiety in Clinical Practice.

J Dent Educ 2019 Jan;83(1):56-63

Grace Wong is Lecturer, Sydney Dental School, University of Sydney; Heather C. Apthorpe is Lecturer, Sydney Dental School, University of Sydney; Kate Ruiz is Research Associate and Clinical Educator, Sydney Dental School, University of Sydney; and Shanika Nanayakkara is Lecturer, Sydney Dental School, University of Sydney.

Effective dental local anesthetic administration forms the basis of pain-free dentistry; therefore, the application of theoretical knowledge and the ability to deliver injections safely and competently are vital aspects of student learning. Student- to-student administration of the first local anesthetic injection has been a traditional method for preclinical training. The aim of this study was to evaluate oral health students' perceived value of such practice and the impact on their level of anxiety and confidence in giving their first injections to patients. Read More

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http://dx.doi.org/10.21815/JDE.019.007DOI Listing
January 2019
1 Read

A Large Cheek Hematoma as a Complication of Local Anesthesia: Case Report.

Acta Stomatol Croat 2018 Jun;52(2):156-159

Department of Oral and Maxillofacial Surgery, University Hospital Dubrava, Zagreb, Croatia.

Hematoma is among less frequent complications which occur following local anesthesia. The posterior superior alveolar nerve block and inferior alveolar nerve block are known to be accompanied with a higher incidence of positive aspiration compared to all infiltration and block anesthesia techniques in oral surgery. We present the case of an otherwise healthy 8-year-old boy who experienced a large cheek hematoma after a routine infiltration anesthesia in the maxilla. Read More

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http://www.ascro.hr/fileadmin/user_upload/2018/Number_2018-2
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http://dx.doi.org/10.15644/asc52/2/9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301842PMC
June 2018
9 Reads

Glossopharyngeal Nerve Block: The Premolar Approach.

Craniomaxillofac Trauma Reconstr 2018 Dec 25;11(4):331-332. Epub 2017 Aug 25.

Maxillofacial Surgery Services, Department of Dentistry, All India Institute of Medical Sciences, Tatibandh, Raipur, India.

This is a technical note describing hard tissue landmarks to simplify the intraoral glossopharyngeal nerve block. Our literature review revealed no specific mention of the same procedure in documented data. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1606249
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http://dx.doi.org/10.1055/s-0037-1606249DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224283PMC
December 2018
2 Reads

Local infiltration anaesthesia versus sciatic nerve and adductor canal block for fast-track knee arthroplasty: A randomised controlled clinical trial.

Eur J Anaesthesiol 2018 Dec 17. Epub 2018 Dec 17.

Joanna Kastelik and Michael Fuchs contributed equally to the article.

Background: Local infiltration anaesthesia (LIA) was introduced as an innovative analgesic procedure for enhanced recovery after primary total knee arthroplasty (TKA). However, LIA has never been compared with analgesia based on an adductor canal catheter and a single-shot sciatic nerve block.

Objective: To evaluate two analgesic regimens for TKA comparing mobility, postoperative pain and patient satisfaction. Read More

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http://dx.doi.org/10.1097/EJA.0000000000000929DOI Listing
December 2018
1 Read

Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial.

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Pediatric dentistry, Goa Dental College, Goa, Bambolim, India.

Aim: The aim of this study was to compare the effectiveness of 2% articaine and 2% lignocaine in achieving adequate anesthesia in children between the age group of 6-13 years using inferior alveolar nerve block.

Methods: A triple blinded randomized controlled trial was conducted in 180 participants (90 patients- 2% articaine, 90 patients-2% lignocaine). Effectiveness of the anesthetic agent was determined at 3 points determined by subjective evaluation of pain using pain scales (FPS-R). Read More

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http://dx.doi.org/10.1007/s00784-018-2775-5DOI Listing
December 2018
4 Reads

Efficacy of Endo-Ice followed by intrapulpal ice application as an adjunct to inferior alveolar nerve block in patients with symptomatic irreversible pulpitis-a randomized controlled trial.

Clin Oral Investig 2018 Dec 14. Epub 2018 Dec 14.

Department of Conservative Dentistry and Endodontics, Meenakshi Academy of Higher Education and Research (MAHER), Faculty of Dentistry, Maduravoyal, Chennai, 600095, India.

Objective: The purpose of the present study was to evaluate the effect of Endo-Ice followed by intrapulpal ice application for reducing pain during pulp extirpation in mandibular molars with symptomatic irreversible pulpitis.

Materials And Methods: Sixty patients diagnosed with symptomatic irreversible pulpitis participated in the present study. Subjects were randomly allocated to any one of the following groups: control group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000), articaine group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + Buccal infiltration with articaine (4%) with adrenaline (1:100000); or cold group-inferior alveolar nerve block with lignocaine (2%) adrenaline (1:80000) + cold application. Read More

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http://dx.doi.org/10.1007/s00784-018-2768-4DOI Listing
December 2018
2 Reads

Local anaesthesia training for undergraduate students - how big is the step from model to man?

BMC Med Educ 2018 Dec 14;18(1):308. Epub 2018 Dec 14.

Department of Oral and Maxillofacial Surgery, Erlangen University Hospital, Friedrich-Alexander University Erlangen-Nuremberg, Glückstrasse 11, 91054, Erlangen, Germany.

Background: Local anesthesia is an important skill and a prerequisite for most dental treatments. However, the step from theory to application on the patient is huge for the novice. Hence, a mannequin training model course was developed and implemented into the existing local anesthesia curriculum in undergraduate dental students. Read More

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http://dx.doi.org/10.1186/s12909-018-1389-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295027PMC
December 2018
2 Reads

Unconventional Facial Entry Points Confirmed Using a 3D CT Reconstruction-Guided Stereotactic Approach to Radiofrequency Thermocoagulation for the Treatment of Trigeminal Neuralgia: A Series of Case Reports.

Pain Med 2018 Dec 7. Epub 2018 Dec 7.

Department of Neurosurgery.

Objectives: Patients with trigeminal neuralgia who are refractory to medical therapy may choose to undergo Gasserian ganglion percutaneous radiofrequency thermocoagulation. However, in cases where the foramen ovale is difficult to access due to various anatomical anomalies, the typical estimation of the facial entry point is suboptimal.

Methods: Three-dimensional computed tomography reconstruction imaging performed before surgery revealed anatomical variations in each of the four adult patient cases that made it more difficult to successfully access the foramen ovale (FO) for percutaneous radiofrequency thermocoagulation. Read More

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http://dx.doi.org/10.1093/pm/pny262DOI Listing
December 2018
2 Reads

Comparison of efficacy of 0.75% ropivacaine and 2% lidocaine with 1:200,000 adrenaline in pain control in extraction of mandibular posterior teeth: A double-blind study.

Indian J Dent Res 2018 Sep-Oct;29(5):611-615

Department of Oral and Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Dr. D. Y. Patil Dental College and Hospital, Pimpri, Pune, Maharashtra, India.

Background: Two percent lidocaine hydrochloride is the gold standard for dental anesthesia against which newer local anesthetic agents may be compared. 0.75% ropivacaine is a newer, long-acting amide local anesthetic agent with inherent vasoconstriction property. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_150_17DOI Listing
November 2018
3 Reads

Nerve blocks in paediatric and adolescent headache disorders.

Curr Opin Pediatr 2018 Dec;30(6):780-785

Montreal Children's Hospital, McGill University Health Centre, Montreal, Quebec, Canada.

Purpose Of Review: Headaches in children and adolescents are common, causing debilitating symptoms in many. Treatment of headache disorders can be complex and standard lifestyle changes as well as oral medications may offer inadequate relief. The purpose of this article is to review the mechanism of action, efficacy and technique of peripheral nerve blocks (PNBs) and the role they play in treating paediatric headache disorders. Read More

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http://dx.doi.org/10.1097/MOP.0000000000000687DOI Listing
December 2018
3 Reads

Management of refractory chronic migraine using ultrasound-guided pulsed radiofrequency of greater occipital nerve: Two case reports.

Medicine (Baltimore) 2018 Nov;97(45):e13127

Department of Physical Medicine and Rehabilitation, College of Medicine, Yeungnam University, Namku, Taegu, Republic of Korea.

Rationale: Although various oral medications and procedures are applied for managing migraine, their efficacy remains limited. To control migraine that does not respond to conventional treatments, we conducted pulsed radiofrequency (PRF) stimulation to the greater occipital nerve (GON) in 2 patients.

Patient Concerns: Patients 1 and 2 complained of chronic throbbing, pulsating, and tight headaches. Read More

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http://dx.doi.org/10.1097/MD.0000000000013127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250499PMC
November 2018
3 Reads

Local anesthesia for mandibular third molar extraction.

J Dent Anesth Pain Med 2018 Oct 31;18(5):287-294. Epub 2018 Oct 31.

Division of Oral and Maxillofacial Surgery, Department of Dentistry, College of Medicine, Hanyang University, Seoul, Korea.

Mandibular third molar extraction is commonly performed in dental clinics. However, the optimal method of anesthesia has not been established for this procedure. The conventional inferior alveolar nerve block is the most widely used method. Read More

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https://synapse.koreamed.org/DOIx.php?id=10.17245/jdapm.2018
Publisher Site
http://dx.doi.org/10.17245/jdapm.2018.18.5.287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218392PMC
October 2018
11 Reads

Is intraoperative navigation for needle breakage mandatory?: A case report.

J Am Dent Assoc 2019 Feb 1;150(2):154-158. Epub 2018 Nov 1.

Background And Overview: Needle breakage when administering local anesthetic in the oral cavity can be of major concern to both the patient and the dentist. Intraoperative navigation has become the most popular advanced imaging technique.

Case Description: In this report, the authors describe a case of needle breakage during inferior alveolar nerve block for a dental procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00028177183064
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http://dx.doi.org/10.1016/j.adaj.2018.09.007DOI Listing
February 2019
12 Reads

Natural Compounds and their Analogues as Potent Antidotes against the Most Poisonous Bacterial toxin.

Appl Environ Microbiol 2018 Nov 2. Epub 2018 Nov 2.

Institute of Advanced Sciences, 86-410 Faunce Corner Mall Road, Dartmouth, Massachusetts, USA

Botulinum neurotoxins (BoNTs), the most poisonous proteins known to mankind, are a family of seven (A-G) immunologically distinct proteins synthesized primarily by different strains of the anaerobic bacteria, Being the causative agents of botulism, the toxins block neurotransmitter release by specifically cleaving one of the three SNARE proteins thereby inducing flaccid paralysis. Developing countermeasures and therapeutics against BoNTs are high priority research areas for public health because of their extreme toxicity and potential as bio-warfare agents. Extensive research has been focused on designing antagonists that block the catalytic activity of BoNTs. Read More

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http://aem.asm.org/lookup/doi/10.1128/AEM.01280-18
Publisher Site
http://dx.doi.org/10.1128/AEM.01280-18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6275346PMC
November 2018
15 Reads

Efficacy and safety of lower extremity nerve blocks for postoperative analgesia at free fibular flap donor sites.

Head Neck 2018 Dec 2;40(12):2670-2676. Epub 2018 Nov 2.

Department of Anesthesiology, School and Hospital of Stomatology, China Medical University, Shenyang, People's Republic of China.

Background: We evaluated the utility of combined femoral and common peroneal nerve blocks in patients undergoing free fibular flap-based oromandibular reconstruction.

Methods: Forty patients undergoing reconstructive surgeries with free fibular flaps were randomly divided into nerve block and control groups (NB and C). In group NB, both femoral and common peroneal nerve blocks with 0. Read More

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http://doi.wiley.com/10.1002/hed.25470
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http://dx.doi.org/10.1002/hed.25470DOI Listing
December 2018
6 Reads

Myositis ossificans traumatica of the masticatory muscles: etiology, diagnosis and treatment.

Head Face Med 2018 Oct 29;14(1):23. Epub 2018 Oct 29.

Department of Cranio-Maxillofacial Surgery, Research Unit Rare Diseases with Orofacial Manifestations (RDOM), University Hospital Münster, Albert-Schweitzer-Campus 1, Gebäude W 30, D-48149, Münster, Germany.

Background: Myositis ossificans describes a heterotopic bone formation within a muscle. Thereby myositis ossificans is classified in two different groups: myositis ossificans progressiva (MOP) which describes a genetic autosomal dominant rare disease and myositis ossificans traumatica (MOT). The exact pathogenesis of MOT is unclear. Read More

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https://head-face-med.biomedcentral.com/articles/10.1186/s13
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http://dx.doi.org/10.1186/s13005-018-0180-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206835PMC
October 2018
8 Reads

Management of Great Auricular Neuralgia Confirmed by Electrophysiologic Examination: A Case Report.

J Oral Facial Pain Headache 2018 Fall;32(32):e53-e56

The great auricular nerve (GAN) is a sensory branch of the cervical plexus originating from the C2 and C3 nerve roots that innervates the external ear, mandibular angle, and parotid gland. Since idiopathic GAN neuralgia is a rare condition and branches of the GAN overlap with other cervical and cranial nerves, its diagnosis is challenging and can be confused with other facial neuralgias. This article describes the case of a 55-year-old woman with intractable unilateral periauricular and lateral head pain. Read More

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http://dx.doi.org/10.11607/ofph.2144DOI Listing
October 2018
24 Reads

Buffered local anaesthetic and injection pain and onset time.

Evid Based Dent 2018 Oct;19(3):92

New York University, College of Dentistry, New York, USA.

Data sourcesMedline, Embase, Scopus and Scielo were searched until April 2017 supplemented by manual searching.Study selectionClinical trials with parallel-groups, crossover and split mouth in patients older than 18 years were included with no language restrictions. The primary outcome considered was changes in pain intensity, while the secondary outcome was changes on onset time. Read More

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http://www.nature.com/doifinder/10.1038/sj.ebd.6401331
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http://dx.doi.org/10.1038/sj.ebd.6401331DOI Listing
October 2018
12 Reads

The Efficacy of Transversus Abdominis Plane Block for Abdominal Hysterectomy Post-operative Analgesia.

Cureus 2018 Aug 10;10(8):e3131. Epub 2018 Aug 10.

Anesthesiology, University of Central Florida, Orlando, USA.

Introduction/background Abdominal hysterectomy is an open surgical procedure associated with considerable post-operative pain. Narcotics are often required during patient recovery but can result in adverse side effects. Transversus abdominis plane block (TAP block) is a regional anesthetic technique that is found to be an effective post-operative analgesia for many types of abdominal surgeries, including abdominal hysterectomies. Read More

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https://www.cureus.com/articles/13882-the-efficacy-of-transv
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http://dx.doi.org/10.7759/cureus.3131DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181248PMC
August 2018
15 Reads

Comparison of Efficacy of Halstead, Vazirani Akinosi and Gow Gates Techniques for Mandibular Anesthesia.

J Maxillofac Oral Surg 2018 Dec 26;17(4):570-575. Epub 2018 Feb 26.

Ridgetop Dental Clinic, Bangalore, India.

Purpose: Traditionally, the "Halstead block" has been widely used to provide anesthesia in mandibular teeth. Two other techniques, the Gow Gates mandibular nerve block and the Akinosi Vazirani closed-mouth mandibular nerve block, are reliable alternatives to the conventional inferior alveolar nerve block. The purpose of this study is to evaluate the onset of anesthesia, anesthetic success and incidence of positive aspiration during administration of local anesthetic solution using the Halstead, Vazirani Akinosi and Gow Gates techniques. Read More

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http://dx.doi.org/10.1007/s12663-018-1092-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6181866PMC
December 2018
2 Reads

Anatomical Study of the Lingual Nerve and Inferior Alveolar Nerve in the Pterygomandibular Space: Complications of the Inferior Alveolar Nerve Block.

Cureus 2018 Aug 6;10(8):e3109. Epub 2018 Aug 6.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

The inferior alveolar nerve block (IANB) procedure delivers anesthetics to the pterygomandibular space through which the lingual nerve (LN) and inferior alveolar nerve (IAN) travel. Injury to the LN has been reported more often than injury to the IAN. However, the number of anatomical studies of LN injury is limited. Read More

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https://www.cureus.com/articles/14053-anatomical-study-of-th
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http://dx.doi.org/10.7759/cureus.3109DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6175254PMC
August 2018
4 Reads

A preliminary study on plasma concentration achieved following intrapterygomandibular space injection of dexamethasone as a route of drug delivery with lignocaine inferior alveolar nerve block-correlation of clinical effects.

Oral Maxillofac Surg 2018 Dec 16;22(4):457-461. Epub 2018 Oct 16.

Department of Oral and Maxillofacial Surgery, People's College of Dental Sciences, People's University, Bhopal, M.P, 462037, India.

Purpose: To determine the quantity of dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone when co-administered with inferior alveolar nerve block correlating with the clinical effects in the postoperative phase.

Objective: A preliminary prospective study to evaluate the dexamethasone plasma concentration achieved following intrapterygomandibular space injection of dexamethasone with 2% lignocaine inferior alveolar nerve block to achieve hemi-mandibular anesthesia for minor oral surgical procedures and derive clinical correlations.

Background: Dexamethasone is a glucocorticoid, chiefly used for the management of postsurgical sequelae like trismus and swelling in maxillofacial surgical practice. Read More

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http://link.springer.com/10.1007/s10006-018-0733-7
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http://dx.doi.org/10.1007/s10006-018-0733-7DOI Listing
December 2018
11 Reads

Quantitative and qualitative assessment of sensory changes induced by local anesthetics block of two different trigeminal nerve branches.

Clin Oral Investig 2018 Oct 16. Epub 2018 Oct 16.

Section of Orofacial Pain and Jaw Function, Department of Dentistry and Oral Health, Aarhus University, Vennelyst Boulevard 9, DK-8000, Aarhus, Denmark.

Objectives: The aims were to use different techniques to assess the degree of sensory changes and magnitude of perceived size changes in the facial region induced by nerve blocks of two different trigeminal nerve branches in healthy participants.

Materials And Methods: This placebo-controlled study included 30 healthy volunteers. The participants underwent quantitative and qualitative sensory testing (QST and QualST) thrice: before, 10 min, and 2 h after mental (n = 15) and infraorbital (n = 15) nerve blocks and during control (saline) sessions. Read More

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http://dx.doi.org/10.1007/s00784-018-2695-4DOI Listing
October 2018
3 Reads

Is the Vazirani-Akinosi Nerve Block a Better Technique Than the Conventional Inferior Alveolar Nerve Block for Beginners?

J Oral Maxillofac Surg 2018 Sep 18. Epub 2018 Sep 18.

Professor and Head of Department, Department of Oral and Maxillofacial Surgery, SRM Dental College & Hospital, Ramapuram Campus, Chennai, India.

Purpose: This study was performed to compare the efficacy and comfort of the inferior alveolar nerve (IAN) block and the Vazirani-Akinosi (VA) nerve block when administered by dental trainees.

Materials And Methods: In this prospective, randomized controlled trial, patients requiring extraction of mandibular teeth received either the conventional IAN block (IAN group) or VA nerve block (VA group). Objective parameters evaluated included ease of locating landmarks, incidence of positive aspiration, and failure rate. Read More

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http://dx.doi.org/10.1016/j.joms.2018.08.034DOI Listing
September 2018
3 Reads

The Incisive Canal: A Comprehensive Review.

Cureus 2018 Jul 30;10(7):e3069. Epub 2018 Jul 30.

Neurosurgery, Seattle Science Foundation, Seattle, WA, USA.

The incisive canal, also known as the nasopalatine canal, is an interosseous conduit through the anterior maxilla connecting the oral and nasal cavities. Within this canal lies the nasopalatine nerve and the vascular anastomosis between the greater palatine and sphenopalatine arteries. The embryology of the canal has led to interesting theories explaining its function. Read More

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https://www.cureus.com/articles/13662-the-incisive-canal-a-c
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http://dx.doi.org/10.7759/cureus.3069DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166911PMC
July 2018
4 Reads

Preclinical Local Anesthesia Education in Dental Schools: A Systematic Review.

J Dent Educ 2018 Oct;82(10):1059-1064

Andrew L. Kary, BS, is a dental student, New York University College of Dentistry; Juliana Gomez, BA, is a dental student, New York University College of Dentistry; Samuel D. Raffaelli, BS, is a dental student, New York University College of Dentistry; and Marci H. Levine, DDS, MD, is Clinical Assistant Professor, Department of Oral and Maxillofacial Surgery, New York University College of Dentistry.

The aim of this systematic review was to evaluate the published literature on current educational techniques used to teach local anesthesia administration in U.S. dental schools to determine the methods by which potential complications may be minimized and efficacy maximized. Read More

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http://dx.doi.org/10.21815/JDE.018.106DOI Listing
October 2018
2 Reads

Sex, Gender, and Orofacial Pain.

Dent Clin North Am 2018 Oct 2;62(4):665-682. Epub 2018 Aug 2.

Division of Oral and Maxillofacial Pain, Department of Oral and Maxillofacial Surgery, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

This review examines gender prevalence in orofacial pain to elucidate underlying factors that can explain such differences. This review highlights how gender affects (1) the association of hormonal factors and pain modulation; (2) the genetic aspects influencing pain sensitivity and pain perception; (3) the role of resting blood pressure and pain threshold; and (4) the impact of sociocultural, environmental, and psychological factors on pain. Read More

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http://dx.doi.org/10.1016/j.cden.2018.06.001DOI Listing
October 2018
3 Reads

Efficacy of corticosteroids for postoperative endodontic pain: A systematic review and meta-analysis.

J Dent Anesth Pain Med 2018 Aug 28;18(4):205-221. Epub 2018 Aug 28.

Division of Dental Public Health and Pediatric Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA.

This systematic review aimed to analyze the efficacy of corticosteroid premedication compared to placebo or no treatment to reduce postoperative pain in endodontic patients. Randomized controlled trials (RCTs) assessing corticosteroids via oral, intramuscular, subperiosteal, intraligamentary or intracanal route compared to passive or active placebo, or no treatment were included. Four databases were searched: PubMed, Web of Science, Cochrane Library and Embase up to 2/21/2018. Read More

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http://dx.doi.org/10.17245/jdapm.2018.18.4.205DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115367PMC
August 2018
3 Reads

Success Rate of 3 Injection Methods with Articaine for Mandibular First Molars with Symptomatic Irreversible Pulpitis: A CONSORT Randomized Double-blind Clinical Trial.

J Endod 2018 Oct 31;44(10):1462-1466. Epub 2018 Aug 31.

Private Practice, Tabriz, Iran.

Introduction: Previous studies have reported that it is difficult to obtain proper anesthesia in mandibular molars with symptomatic irreversible pulpitis, and supplemental injections are usually unavoidable. The aim of the present study was to determine the anesthetic efficacy of articaine in mandibular first molars with symptomatic irreversible pulpitis with 3 injection methods: an inferior alveolar nerve block (IANB), an IANB with an intraligamentary injection, and an IANB with buccal infiltration before initiating the endodontic treatment.

Methods: Ninety-six patients (54 women and 42 men) with a diagnosis of symptomatic irreversible pulpitis in mandibular first molars were selected and randomly assigned into 3 groups (n = 32) according to the injection method as follows: group 1, a conventional IANB injection; group 2, an IANB injection, and after profound lip numbness after the IANB (after 15 minutes), buccal infiltration was administered; and group 3, an IANB injection, and after profound lip numbness after the IANB (after 15 minutes), an intraligamentary injection was performed, and after 20 minutes from the IANB, the endodontic treatment was initiated. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00992399183047
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http://dx.doi.org/10.1016/j.joen.2018.07.010DOI Listing
October 2018
10 Reads

Impact of local administration of various doses of dexmedetomidine on ropivacaine-induced lumbar plexus-sciatic nerve block.

Exp Ther Med 2018 Aug 24;16(2):711-717. Epub 2018 May 24.

Department of Anesthesiology, Central Hospital of Cangzhou, Cangzhou, Hebei 061000, P.R. China.

The present study aimed to investigate the impact of various doses of dexmedetomidine (DEX) on ropivacaine (ROP)-induced lumbar plexus-sciatic nerve block (LSB). A total of 80 patients who underwent ankle surgery under LSB were divided into group R (applied with 30 ml 5% ROP), Dex1 (30 ml 0.5% ROP + 1 µg/kg DEX), Dex2 (30 ml 0. Read More

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http://dx.doi.org/10.3892/etm.2018.6218DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090230PMC
August 2018
11 Reads

Comparative evaluation of anesthetic efficacy of warm, buffered and conventional 2% lignocaine for the success of inferior alveolar nerve block (IANB) in mandibular primary molars: A randomized controlled clinical trial.

J Dent Res Dent Clin Dent Prospects 2018 20;12(2):102-109. Epub 2018 Jun 20.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

Maintaining primary teeth in the oral cavity is of prime importance, and grossly carious teeth may require pulp therapy for the same. Pain on injection and incomplete anesthesia causes failure of the procedure and result in fear and anxiety. Various methods have evolved to overcome this; such as distraction, topical anesthesia, etc. Read More

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http://dx.doi.org/10.15171/joddd.2018.016DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6076879PMC
June 2018
2 Reads

Comparison of Frontozygomatic versus Sigmoid Notch Approach for Extraoral Maxillary Nerve Block Anesthesia: A Prospective Clinical Trial.

J Maxillofac Oral Surg 2018 Sep 27;17(3):301-307. Epub 2017 Sep 27.

Department of OMFS, Maratha Mandal Dental College and Hospital, Belagavi, Karnataka India.

Background: With definitive indications, extraoral techniques of achieving regional nerve blocks are a boon to oral and maxillofacial surgical practice. Though less commonly practiced, since general anesthesia is more favored, certain medical conditions favor the use of regional nerve blocks over general anesthesia. To block the maxillary nerve extraorally, sigmoid notch approach and frontozygomatic approach have been previously described in the literature, but a clinical trial comparing these techniques is sparse. Read More

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http://link.springer.com/10.1007/s12663-017-1045-4
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http://dx.doi.org/10.1007/s12663-017-1045-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028337PMC
September 2018
8 Reads

Efficacy of buccal infiltration anaesthesia with articaine for extraction of mandibular molars: a clinical trial.

Br J Oral Maxillofac Surg 2018 Sep 3;56(7):607-610. Epub 2018 Jul 3.

Postgraduate Student of Pediatric Dentistry, Dental School, Qazvin University of Medical Sciences, Qazvin, Iran. Electronic address:

It is hard to provide adequate anaesthesia by infiltration of lidocaine into the mandible because of the thick buccal cortex. An inferior alveolar nerve block is often used but has a high failure rate, which has led research workers to look for an anaesthetic agent that will anaesthetise the lower teeth by buccal infiltration alone. We have assessed the efficacy of buccal infiltration anaesthesia with articaine by designing a double-blind controlled clinical trial in 133 patients who required extraction of mandibular molars. Read More

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http://dx.doi.org/10.1016/j.bjoms.2018.06.012DOI Listing
September 2018
4 Reads

Comparison between radiofrequency ablation and chemical neurolysis of thoracic splanchnic nerves for the management of abdominal cancer pain, randomized trial.

Eur J Pain 2018 11 11;22(10):1782-1790. Epub 2018 Jul 11.

Department of Anesthesia, ICU and Pain Relief, South Egypt Cancer Institute, Assiut University, Egypt.

Background: Radiofrequency ablation (RFA) of the splanchnic nerves has been reported as a predictable and safe technique for abdominal pain management. We compare between RFA and chemical neurolysis of bilateral thoracic splanchnic nerves in the management of refractory cancer pain.

Methods: The study was conducted on 60 patients aged ≥18 years who suffered from abdominal pain (visceral pain, VAS ≥4) due to upper abdominal cancers. Read More

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http://dx.doi.org/10.1002/ejp.1274DOI Listing
November 2018

Dexmedetomidine as an Additive to Local Anesthesia: A Step to Development in Dentistry.

J Oral Maxillofac Surg 2018 Oct 6;76(10):2091.e1-2091.e7. Epub 2018 Jun 6.

Resident, Post Graduate Institute of Dental Sciences, Rohtak, India.

Purpose: The study aimed to compare the effect of dexmedetomidine added to lidocaine against epinephrine added to lidocaine on local anesthetic potency and to look for future prospects of dexmedetomidine as an additive to local anesthesia in dentistry.

Materials And Methods: The study included 25 healthy volunteers in whom extraction of all first premolars was scheduled as part of their orthodontic treatment plan. In this split-mouth, double-blind, crossover, randomized controlled trial, patients were randomized into 2 groups: Group 1 received injection lidocaine plus dexmedetomidine, and group 2 was administered lidocaine plus epinephrine. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02782391183051
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http://dx.doi.org/10.1016/j.joms.2018.05.037DOI Listing
October 2018
7 Reads

Comparative Study of the Efficacy of 4% Articaine vs 2% Lidocaine in Surgical Removal of Bilaterally Impacted Mandibular Third Molars.

J Contemp Dent Pract 2018 Jun 1;19(6):743-748. Epub 2018 Jun 1.

Department of Oral and Maxillofacial Surgery, Rayat-Bahra Dental College & Hospital, Mohali, Punjab, India.

Aim: The aim of this study was to evaluate the safety and efficacy of 4% articaine with epinephrine (1:200,000) vs 2% lidocaine with epinephrine (1:200,000) during surgical removal of impacted mandibular third molars.

Materials And Methods: The present study was undertaken in 20 patients belonging to American Society of Anesthesiologists (ASA) class I, of the age group between 18 and 30 years with bilaterally impacted mandibular third molars. Each patient underwent similar surgical procedure. Read More

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June 2018
8 Reads

The Role of Endoscopic Sphenopalatine Ganglion Block on Nausea and Vomiting After Sinus Surgery.

Am J Rhinol Allergy 2018 Sep 27;32(5):369-373. Epub 2018 Jun 27.

2 Department of Special Surgery, Division of ORL-HNS, Jordan University of Science and Technology, Irbid, Jordan.

Background Postoperative nausea and vomiting (PONV) are among the most common unpleasant and distressing adverse events following surgery under general anesthesia. Functional endoscopic sinus surgery (FESS) is a common otolaryngology procedure. Prevention of PONV and early recovery are cost-effective. Read More

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http://dx.doi.org/10.1177/1945892418782235DOI Listing
September 2018
1 Read