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Title

SCPNB is an adjuvant to local anaesthesia for maxillofacial surgical practice

 

Authors

Sachin Kumar1, Pranav Parashar2,*, Saurabh Mallick3, Dr. Abhishek4, Sanjivani L. Mane5 & Girija Adsure6

 

Affiliation

1Department of Oral and Maxillofacial Surgery School of Dental Sciences, Sharda University, Greater Noida, UP, India; 2Department of Dentistry, N.S.C.B. Medical College & Hospital, Jabalpur, M.P, India; 3Department of Oral & Maxillofacial Surgery, Mallick Dental & Maxillofacial Centre, Ranchi, Jharkhand, India; 4Department of Oral and Maxillofacial Surgery Oro Care Facial Trauma Centre, Patna, Bihar, India; 5Department of General Pathology and Microbiology, MA Rangoonwala College of Dental Sciences & Research Centre, Pune, Maharashtra, India; 6Department of Orthodontics & Dentofacial Orthopaedics, MA Rangoonwala College of Dental Sciences & Research Centre, Pune, Maharashtra, India; *Corresponding author; Communicated by Vini Mehta E-mail: vinip.mehta@gmail.com

 

Email

Sachin Kumar Phone: +91 8285006933; E-mail: sachin.kumar1@sharda.ac.in

Pranav Parashar - Phone: +91 9926105661; E-mail:pranavparashar1@gmail.com

Saurabh Mallick - Phone: +91 9334132556; E-mail: drmallickomfs@gmail.com

Abhishek - Phone: +91 9334154553; E-mail: drabhishek690@gmail.com

Sanjivani L Mane - Phone: +91 9096041579; E-mail: sanjivaniatmk@gmail.com

Girija Adsure Phone: +91 9868898959; E-mail:gradsure@gmail.com

 

Article Type

Research Article

 

Date

Received May 1, 2023; Revised May 31, 2023; Accepted May 31, 2023, Published May 31, 2023

 

Abstract

The superficial cervical plexus nerve block [SCPNB] procedure is frequently used throughout head and neck surgery because it is simple to learn and has a low rate of complications. The investigation of this method might produce superior outcomes in treating frequent maxillofacial disorders including mandibular fractures and infections of the odontogenic region. The SCPNB is known to play a part in the medical evacuation of head and neck abscesses, the excision of superficial diseases in the perimandibular region, and the therapy of mandibular fracture, despite the dearth of research in this area. Considering this background, it was expected that the SCPNB might be helpful as an adjuvant to regional anaesthesia in maxillofacial surgery. The purpose of this study was to assess the effectiveness of the SCPNB in the treatment of mandibular fractures and infectious diseases in the perimandibular area. 48 patients with either submandibular space infections or mandibular injuries who were anticipated for surgical procedure under regional anaesthesia participated in a prospective randomized clinical study (eg, inferior alveolar nerve block, long buccal nerve block). Administering a combination of a local infiltration and regional anaesthesia was used as the control group. Regional anaesthesia and a SCPNB were administered to the intervention class. The following factors were examined: pain, anaesthesia's duration and onset, waiting period before initial analgesic demand, pulse rate, and blood pressure. The unpaired t-test was used to compare groups. Multiple variables ANOVA (for more than two observations) was used for intragroup analysis, accompanied by a post-hoc analysis of variance. In aspects of intra - operative pain at thirty minutes, time required of anaesthesia, intraoperative anesthetic necessity, duration until first analgesic recommendation, and intra - operative diastolic arterial blood pressure at ten minutes, the SCPNB group demonstrated a substantial (P ≤.01) improved performance. It can be concluded that the use of a regional anaesthetic approach in conjunction with a SCPNB is a good substitute to localized infiltration for patients having surgery for fracture of mandible and perimandibular area infections.

 

Keywords

Superficial cervical plexus nerve block, alternative, local anaesthesia, maxillofacial surgery

 

Citation

Kumar et al. Bioinformation 19(5): 605-610 (2023)

 

Edited by

P Kangueane

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.