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Upper Lip Nerve Block

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1. Upper Lip Nerve Block

Upper Lip Nerve Block Upper Lip Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Upper Lip Nerve Block Upper Lip Nerve (...) Block Aka: Upper Lip Nerve Block , Regional Anesthesia of Upper Lip II. Indication Upper lip anesthesia III. Technique Forms two lines of anesthesia Each line connects mouth angle to same side nasal ala Infiltrate with total of 5-10 cc of 1% Insert needle at right mouth angle Direct needle superiorly toward right nasal ala Infiltrate from mouth angle to nasal ala Repeat from left mouth angle to left nasal ala IV. References Moy in Pfenninger (1994) Procedures, p. 145-55 Images: Related links

2018 FP Notebook

2. Lip Nerve Block

, Field Nerve Block of Lip , Lip Field Block II. Physiology: Ear sensory innervation Greater auricular nerve Lesser Auriculotemporal nerve Lesser III. Technique: Field Block Upper lip block Start at the angle of mouth and direct needle toward the nasal ala on the same side Inject up to 5 ml 1% along the line from the angle to the nasal ala Repeat the process from the angle of the mouth on the opposite side Lower lip block Start at the mentum of the chin directed at one angle of the mouth Inject up (...) Lip Nerve Block Lip Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lip Nerve Block Lip Nerve Block Aka: Lip Nerve Block

2018 FP Notebook

3. Infra-orbital Nerve Block for Post Operative Analgesia in Children Undergoing Cleft Lip Surgery.

postoperative analgesia. Infra-orbital nerve block has been advocated as a suitable local analgesic technique for cleft lip surgery and superficial surgery on the mid face [Morton 2004, Takmaz et al. 2009, Rajesh et al. 2011, Jindal et al. 2011].The infra-orbital nerve supplies the upper lip, lower eyelid, and adjacent skin of the cheek and nose. Unilateral or bilateral infra-orbital nerve block has been performed with a very high success rate. The investigators designed this study to evaluate the safety (...) Infra-orbital Nerve Block for Post Operative Analgesia in Children Undergoing Cleft Lip Surgery. Infra-orbital Nerve Block for Post Operative Analgesia in Children Undergoing Cleft Lip Surgery. - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one

2015 Clinical Trials

4. Upper Lip Nerve Block

Upper Lip Nerve Block Upper Lip Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Upper Lip Nerve Block Upper Lip Nerve (...) Block Aka: Upper Lip Nerve Block , Regional Anesthesia of Upper Lip II. Indication Upper lip anesthesia III. Technique Forms two lines of anesthesia Each line connects mouth angle to same side nasal ala Infiltrate with total of 5-10 cc of 1% Insert needle at right mouth angle Direct needle superiorly toward right nasal ala Infiltrate from mouth angle to nasal ala Repeat from left mouth angle to left nasal ala IV. References Moy in Pfenninger (1994) Procedures, p. 145-55 Images: Related links

2015 FP Notebook

5. Comparative Study Between Levobupivacaine and Bupivacaine for Nerve Block During Pediatric Primary Cleft Palate Surgery

and lesser palatine nerves passing through the sphenopalatine ganglion. The maxillary nerve (MN) provides sensory innervation of the anterior and posterior palate, the upper dental arch, the maxillary sinus, and the posterior nasal cavity. Maxillary nerve block (MNB) through the infrazygomatic route, used for the treatment of trigeminal neuralgia in adults, permits anesthesia of the entire palatine territory. However, this nerve block has led to complications such as orbital puncture, intracranial (...) Comparative Study Between Levobupivacaine and Bupivacaine for Nerve Block During Pediatric Primary Cleft Palate Surgery Comparative Study Between Levobupivacaine and Bupivacaine for Nerve Block During Pediatric Primary Cleft Palate Surgery - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum

2016 Clinical Trials

6. Mental Nerve Block

: Mental Nerve Block , Chin Regional Block , Regional Anesthesia for the Anterior Mandible II. Indication for anterior , lower lip and chin III. Physiology: Landmarks for Mental Nerve Mental Nerve is a branch of the V3 Exits at mental foramen Located 1 cm inferior and slightly anterior to the second premolar Exits in line with the mid-pupil on forward gaze Located between upper and lower border of Overlies medial jaw Centered below midline of orbit Line drawn through supraorbital, infraorbital foramen (...) Mental Nerve Block Mental Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mental Nerve Block Mental Nerve Block Aka

2018 FP Notebook

7. Lip Nerve Block

, Field Nerve Block of Lip , Lip Field Block II. Physiology: Ear sensory innervation Greater auricular nerve Lesser Auriculotemporal nerve Lesser III. Technique: Field Block Upper lip block Start at the angle of mouth and direct needle toward the nasal ala on the same side Inject up to 5 ml 1% along the line from the angle to the nasal ala Repeat the process from the angle of the mouth on the opposite side Lower lip block Start at the mentum of the chin directed at one angle of the mouth Inject up (...) Lip Nerve Block Lip Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Lip Nerve Block Lip Nerve Block Aka: Lip Nerve Block

2015 FP Notebook

8. Evaluation of Use of Ultrasound for Greater Palatine Nerve Block and Inferior Alveolar Nerve Blocks: An Open Label Feasibility Study

that will be tested with the dental probe for ian are the buccal mucosa at the base of the first molar tooth (ian), the lower lip of the blocked side, the tip of the tongue (lingual nerve) as well as the lingual mucosa (lingual nerve ) and the buccal mucosa lateral to the molars on the block side (ian). Occurrence of any local hematoma or paresthesia during the procedure will be documented. The subjects will be contacted over the telephone at 24 hours for any residual paresthesia or numbness. Study Design Go (...) Evaluation of Use of Ultrasound for Greater Palatine Nerve Block and Inferior Alveolar Nerve Blocks: An Open Label Feasibility Study Evaluation of Use of Ultrasound for Greater Palatine Nerve Block and Inferior Alveolar Nerve Blocks: An Open Label Feasibility Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You

2013 Clinical Trials

9. Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block

Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Effects of Articaine Computer-controlled and Conventional Delivery for Anterior and Middle Superior Alveolar Nerve Block The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02440347 Recruitment Status : Completed First

2015 Clinical Trials

10. Injection Technique Assessment of Restylane Silk With Lidocaine for Lip Augmentation

or hypersensitivity to injectable HA gel or to gram positive bacterial proteins. History of allergy or hypersensitivity to lidocaine, other amide type anesthetics, or topical anesthetics or nerve blocking agents Previous surgery to the upper or lower lip, lip piercing or tattoo, or history of facial trauma. Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided (...) Injection Technique Assessment of Restylane Silk With Lidocaine for Lip Augmentation Injection Technique Assessment of Restylane Silk With Lidocaine for Lip Augmentation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2016 Clinical Trials

11. Local Anesthesia and Regional Nerve Block Anesthesia (Overview)

the upper lip, nasal ala, and upper teeth. If the needle is suspected to have entered or lacerated a nerve, it should be withdrawn slowly and deliberately by 1-2 mm, until the paresthesias are no longer present. The needle should never be advanced further, moved laterally, or inserted into the foramen, because these maneuvers further increase the risk of nerve laceration. Although dysesthesias may remain for an extended duration, in most patients, the nerve regenerates and sensation normalizes over time (...) Local Anesthesia and Regional Nerve Block Anesthesia (Overview) Local and Regional Anesthesia: Overview, Indications, Contraindications Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTgzMTg3MC1vdmVydmlldw

2014 eMedicine.com

12. Nerve Block, Infraorbital

without causing tissue distortion. Therefore, the infraorbital nerve block is a convenient alternative for situations such as in which tissue distortion would be unacceptable. In general, regional anesthesia is ideal when the area of interest is innervated by a single superficial nerve. The infraorbital nerve supplies sensory innervation to the lower eyelid, the side of the nose, and the upper lip (see image below). Since the infraorbital nerve provides a considerably large area of sensory innervation (...) , it is a prime candidate for a regional nerve block. [ ] A successful infraorbital nerve block provides anesthesia for the area between the lower eyelid and the upper lip. Area of anesthesia for infraorbital nerve block. The trigeminal nerve (cranial nerve V), provides sensory innervation to the face. [ ] The second division, the maxillary nerve (V2), exits the skull from the foramen rotundum. After giving off numerous branches, the maxillary nerve eventually enters the face through the infraorbital canal

2014 eMedicine.com

13. Nerve Block, Oral

retracting the lip, insert the needle into the intersection of the mucobuccal fold and the apex/center of the canine at a 45-degree angle, advancing the needle approximately 1-1.5 cm. Aspirate. Slowly inject 2 mL of local anesthetic and massage for 10-20 seconds. Middle superior alveolar nerve block The middle superior alveolar (MSA) nerve block anesthetizes the maxillary premolars with occasional overlap to the canine and first molar (see image below). [ , , ] Middle superior alveolar nerve (MSA) block (...) the lower eyelid, upper cheek, part of the nose, and upper lip (see image below). The ASA nerve, which innervates the maxillary canine, the central and lateral incisors, and the mucosa above these teeth, with occasional crossover to the contralateral maxillary incisors, also branches from the maxillary nerve, proximal to the infraorbital nerve. [ , , , ] Because of this anatomy, anesthetizing the infraorbital nerve can result in some overlapping anesthesia of the ASA nerve or vice versa. However

2014 eMedicine.com

14. Face Regional Block

: Face Regional Block , Regional Anesthesia for the Central Face , Infraorbital Nerve Block II. Indication for upper lip, cheeks, nose (part) III. Physiology: Landmarks for Infraorbital Nerve (V2 portion of Trigeminal Nerve) Exits skull at infraorbital foramen along the infraoribtal ridge Centered below midline of orbit, in line with mid-pupil on forward gaze IV. Technique: Infraorbital Nerve Block (extraoral approach) Locate infraorbital foramen as above Insert needle Examiner places one finger over (...) the infraorbital ridge Insert inferior to foramen by 1 cm (slightly medial) Direct needle toward supraorbital foramen and superolaterally Avoid approaching orbit Infiltrate at infraorbital foramen Aspirate first to confirm not in facial artery or facial vein Use 2-4 cc of 1% Inject just above bone level Redirect needle if s or sharp pain V. Technique: Infraorbital Nerve Block (intraoral approach) Consider applying topical anesthetic to the mucosa at the injection site Examiner positions non-dominant hand

2018 FP Notebook

15. Periapical Block

Block , Periapical Nerve Block , Supraperiosteal Dental Anesthesia , Buccal Anesthesia II. Indications anesthesia for all but the molar teeth Most useful for the upper teeth Inferior alveolar is preferred for the lower teeth III. Preparation Bupivicaine 0.25% with 2 cc in a 3 cc syringe (or dental control syringe) Needle 27 gauge 1.25" Topical benzocaine 20% gel IV. Technique Apply topical benzocaine 20% gel to injection site Grasp the upper lip with gauze and retract Insert needle into the above (...) the affected tooth Needle insertion site is at the mucobuccal fold Fold is where the upper lip meets the Angle the needle toward the Advance the needle until it strikes the Withdraw the needle 1 mm Aspirate and then inject the 1-2 cc of Bupivicaine V. Resources Medscape EMedicine: Oral VI. References Stine (1994) Practical Approach to Emergency Medicine, 2nd ed., Little Brown, Boston, p. 1033 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search

2018 FP Notebook

16. Mental Nerve Block

: Mental Nerve Block , Chin Regional Block , Regional Anesthesia for the Anterior Mandible II. Indication for anterior , lower lip and chin III. Physiology: Landmarks for Mental Nerve Mental Nerve is a branch of the V3 Exits at mental foramen Located 1 cm inferior and slightly anterior to the second premolar Exits in line with the mid-pupil on forward gaze Located between upper and lower border of Overlies medial jaw Centered below midline of orbit Line drawn through supraorbital, infraorbital foramen (...) Mental Nerve Block Mental Nerve Block Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mental Nerve Block Mental Nerve Block Aka

2015 FP Notebook

17. Lip Reconstruction (Diagnosis)

. Variations in the arterial supply occur in the labiomental region, and surgeons should be aware of such variability. [ ] The sensory innervation of the upper lip is derived from branches of the trigeminal nerve (cranial nerve V). The upper lip is supplied by the infraorbital nerve, which exits the maxilla at the infraorbital foramen. Sensation in the lower lip is derived from the mental nerve, which exits the mandible at the mental foramen. The identification of these nerves is useful in performing nerve (...) blocks for lip surgery. Motor innervation of the perioral muscles is supplied from the facial nerve (cranial nerve VII). The buccal branch of the facial nerve innervates the orbicularis oris muscle and the lip elevators. The marginal mandibular branch of the facial nerve innervates the orbicularis oris and lip depressors. This nerve is most susceptible to injury at the middle portion of the mandible, where it is most superficial. The primary muscle of the lip is the circumferential orbicularis oris

2014 eMedicine.com

18. Lip Reconstruction (Overview)

. Variations in the arterial supply occur in the labiomental region, and surgeons should be aware of such variability. [ ] The sensory innervation of the upper lip is derived from branches of the trigeminal nerve (cranial nerve V). The upper lip is supplied by the infraorbital nerve, which exits the maxilla at the infraorbital foramen. Sensation in the lower lip is derived from the mental nerve, which exits the mandible at the mental foramen. The identification of these nerves is useful in performing nerve (...) blocks for lip surgery. Motor innervation of the perioral muscles is supplied from the facial nerve (cranial nerve VII). The buccal branch of the facial nerve innervates the orbicularis oris muscle and the lip elevators. The marginal mandibular branch of the facial nerve innervates the orbicularis oris and lip depressors. This nerve is most susceptible to injury at the middle portion of the mandible, where it is most superficial. The primary muscle of the lip is the circumferential orbicularis oris

2014 eMedicine.com

19. Complex Laceration, Lip

locally. In addition, into external lip wounds often causes swelling and distortion of original landmarks. Performing when possible can lead to optimal cosmetic and anesthetic results. [ ] To anesthetize the lower lip, perform a mental nerve block; for the upper lip, perform an infraorbital nerve block (see the images below). Areas of regional nerve blocks for the lips. Technique for extraoral infraorbital nerve block. Intraoral approach for infraorbital nerve block. Pre-anesthetizing the mucosal area (...) of intraoral skin laceration. Lip laceration involving the upper vermilion border. Deep intraoral lip laceration that needs repair. Technique for extraoral infraorbital nerve block. Intraoral approach for infraorbital nerve block. Placement of the first suture through the vermilion border. Assessing for mobile or broken teeth. Further inspection of the anesthetized wound reveals a through-and-through laceration. Extraoral approach to close the deep layer. Wound approximation after 2 deep sutures are placed

2014 eMedicine.com

20. Facial Nerve Paralysis

can be used as adjunct studies. VII-VII transfer A well-known technique is the coaptation of the contralateral buccal branch to the ipsilateral facial nerve, a procedure that is termed VII-VII transfer. This technique requires 2 operations. Primarily, a sural nerve graft is coapted to the contralateral buccal branch, then tunneled through the upper lip and usually left in the subcutaneous tissue. This is performed to allow axonal regeneration in the sural nerve. Closely monitor the patient (...) nerve VII) carries motor, secretory, and afferent fibers from the anterior two thirds of the tongue. It originates in the facial nucleus, which is located at the caudal pontine area. Corticobulbar fibers from the precentral gyrus (frontal lobe) project to the facial nucleus, with most crossing to the contralateral side. As a result, crossed and uncrossed fibers are found in the nucleus. Moreover, the facial nucleus can be divided into two parts: (1) the upper part, which receives corticobulbar

2014 eMedicine Surgery

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