Mouth-Opener Technique for Ultrasound-Guided Inferior Alveolar Nerve Block: A Case Series of Extraction of Impacted Mandibular Third Molars.

Journal: Cureus
Published Date: Aug 26, 2023

Abstract

Extraction of the impacted mandibular third molar (IMTM) is common in oral surgery, but its postoperative pain is severe. Ultrasound-guided inferior alveolar nerve block (UGIANB) is an analgesic technique in the mandibular nerve region. We describe UGIANB using a mouth opener and report the cases with a good postoperative course. Six patients underwent the extraction of bilateral IMTMs under general anesthesia. After surgery, we performed UGIANB and administered 5 mL of 0.375% levobupivacaine on each side. The postoperative numerical rating scale pain scores were 1 (0-2) and 2.5 (0-5) (mean (range)), postoperative day one and seven, respectively. The postoperative quality of recovery-40 scores were 188.5 (8.1) and 191.7 (7.6) (mean (SD)), postoperative day one and seven, respectively. No procedural complications were encountered. We performed UGIANB with a mouth opener on a patient with IMTM extraction and were able to provide safe and good analgesia.

Authors

  • Daisuke Oiwa
    Department of Dental Anesthesiology and Perioperative Management, Hinode Makomanai Dental Hospital, Sapporo, JPN.
  • Sho Kumita
    Department of Anesthesiology, School of Medicine, Sapporo Medical University, Sapporo, JPN.
  • Tomohiro Chaki
    Department of Anesthesiology, School of Medicine, Sapporo Medical University, Sapporo, JPN.
  • Satoshi Ono
    Department of Dental Anesthesiology and Perioperative Management, Hinode Makomanai Dental Hospital, Sapporo, JPN.

Keywords

No keywords available for this article.

External Resources

Popular Topics
Recent Journals