Postoperative Pain
Conditions
Keywords
Suprazygomatic, Maxillary, Palatine, Cleft Palate
Brief summary
Regional blocks are commonly used in pediatric anesthesia to achieve adequate postoperative analgesia. Suprazygomatic Maxillary nerve block (SMN) and Greater Palatine nerve block (GPN) are regional blocks described for use during cleft palate (CP) repair surgery.The aim of this study was to compare the analgesic effect as well as the incidence of complications associated with the use of bilateral GPN and bilateral SMN blocks in children undergoing palatoplasty surgery.
Interventions
PROCEDUREperipheral nerve block by 0.25% levobupivacaine
SUBMANDIBULAR nerve block will be performed using a 25G 90 mm beveled needle . the entry point of the needle will be situated at the angle formed by the superior edge of the zygomatic arch below and the posterior orbital rim forward .The needle will be inserted perpendicular to the skin and advanced approximately 20 mm depth to reach the greater wing of the sphenoid deep to the pterygopalatine fossa. Injection of 1ml of 0.25% levobupivacaine will be done over 20 seconds afterensuring negative blood aspiration .greater Palatine Nerve will be blocked bilaterally as it leaves on palatal side through the foramen on the opposite direction of the anterior part of the 3rd molar orthe posterior part of the 2nd molar tooth.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Caregiver)
Masking description
masking from the aim of the study
Intervention model description
The two study groups were: * Group GPN, 20 patients received bilateral greater palatine nerve block. * Group SMN, 20 patients received bilateral suprazygomatic maxillary nerve block.
Eligibility
Sex/Gender
ALL
Age
6 Months to 5 Years
Healthy volunteers
No
Inclusion criteria
* ASA I-III scheduled to undergo palatoplasty
Exclusion criteria
* bleeding disorders, * skin lesions or wounds at site of proposed needle insertion, * congenital heart disease, * respiratory or * cardiovascular disorders, * children scheduled for combined procedures like palatoplasty with cheiloplasty or submucosal alveolar bone grafting, * known hypersensitivity to local anesthetics or opioids and * lack of parental consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain score | the first 12 postoperative hours | Pain assessment was done immediately postoperative using Objective behavioral pain score |
Countries
Egypt
Contacts
Primary ContactSherif Abdullah Mohamed, M.D.
Outcome results
None listed