The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform

Andrew Sawka - One of the best experts on this subject based on the ideXlab platform.

Yasuyuki Shibata - One of the best experts on this subject based on the ideXlab platform.

  • A Novel Technique of Ultrasound-Guided Selective Mandibular Nerve Block With a Lateral Pterygoid Plate Approach: A Cadaveric Study.
    Regional anesthesia and pain medicine, 2018
    Co-Authors: Wirinaree Kampitak, Tanvaa Tansatit, Yasuyuki Shibata
    Abstract:

    Background and Objectives We aimed to describe a novel technique of ultrasound-guided selective Mandibular Nerve block with a lateral pterygoid plate (LPP) approach and to assess its feasibility and accuracy in a soft cadaver model. Methods Ten soft cadavers were studied. A curved array ultrasound transducer was applied over 1 side of the face of the cadaver, in an open-mouth position. The transducer was placed transversely below the zygomatic arch and tilted in the caudal-to-cranial direction to identify the boundary of the LPP. The needle was inserted in-plane, in an anterior-to-posterior direction, into the posterior border of the uppermost part of the LPP, and 3 mL of methylene blue was injected. Results Mandibular Nerve block was successfully performed in all 10 cadavers using an LPP approach under ultrasound guidance. The Mandibular Nerve and its branches were seen to be stained with methylene blue in all cadaveric specimens. No accidental injection into the facial Nerve or maxillary artery was observed. Conclusions This cadaveric study suggests that this novel technique, using an LPP approach under ultrasound guidance, is helpful for selective Mandibular Nerve block, with high accuracy and feasibility. Further studies are required to establish its safety and efficacy for clinical application. Clinical Trial Registration This study was registered at the Thai Clinical Trials Registry (ClinicalTrials.in.th), identifier TCTR20160601004.

Brian Chanpong - One of the best experts on this subject based on the ideXlab platform.

Wirinaree Kampitak - One of the best experts on this subject based on the ideXlab platform.

  • A Novel Technique of Ultrasound-Guided Selective Mandibular Nerve Block With a Lateral Pterygoid Plate Approach: A Cadaveric Study.
    Regional anesthesia and pain medicine, 2018
    Co-Authors: Wirinaree Kampitak, Tanvaa Tansatit, Yasuyuki Shibata
    Abstract:

    Background and Objectives We aimed to describe a novel technique of ultrasound-guided selective Mandibular Nerve block with a lateral pterygoid plate (LPP) approach and to assess its feasibility and accuracy in a soft cadaver model. Methods Ten soft cadavers were studied. A curved array ultrasound transducer was applied over 1 side of the face of the cadaver, in an open-mouth position. The transducer was placed transversely below the zygomatic arch and tilted in the caudal-to-cranial direction to identify the boundary of the LPP. The needle was inserted in-plane, in an anterior-to-posterior direction, into the posterior border of the uppermost part of the LPP, and 3 mL of methylene blue was injected. Results Mandibular Nerve block was successfully performed in all 10 cadavers using an LPP approach under ultrasound guidance. The Mandibular Nerve and its branches were seen to be stained with methylene blue in all cadaveric specimens. No accidental injection into the facial Nerve or maxillary artery was observed. Conclusions This cadaveric study suggests that this novel technique, using an LPP approach under ultrasound guidance, is helpful for selective Mandibular Nerve block, with high accuracy and feasibility. Further studies are required to establish its safety and efficacy for clinical application. Clinical Trial Registration This study was registered at the Thai Clinical Trials Registry (ClinicalTrials.in.th), identifier TCTR20160601004.

Aruna Jain - One of the best experts on this subject based on the ideXlab platform.

  • Extraoral Mandibular Nerve block with peripheral Nerve stimulator for temporoMandibular surgery
    Journal of Oral and Maxillofacial Surgery Medicine and Pathology, 2016
    Co-Authors: Nishant Kumar, Rashi Sardana, Aruna Jain
    Abstract:

    Abstract Introduction Adequate postoperative pain relief after gap arthroplasty is usually managed by intravenous opioids and NSAIDs with their inherent side effects. Mandibular Nerve block provides good quality and long lasting analgesia. Use of peripheral Nerve stimulator aids the block in cases with distorted anatomy. Methods We describe the use of peripheral Nerve stimulator for extra-oral Mandibular Nerve block in patients undergoing temporoMandibular surgery. Results Since the peripheral Nerve stimulator provides an objective identification of the Nerve, the success is close to 100%. Pain relief is excellent with reduction in intraoperative and postoperative consumption of opioids and NSAIDs. Postoperative pain relief lasts for at least 8 h and reduces subsequent requirement of analgesics. Conclusion Peripheral Nerve stimulator is a sure, safe and easy option available for Mandibular Nerve block in patients undergoing temporo-Mandibular surgery especially with distorted anatomy.

  • Intraoperative Mandibular Nerve block with peripheral Nerve stimulator for temporoMandibular joint ankylosis.
    Journal of Clinical Anesthesia, 2016
    Co-Authors: Nishant Kumar, Rashi Sardana, Ranvinder Kaur, Aruna Jain
    Abstract:

    Abstract We describe the use of peripheral Nerve stimulator for Mandibular Nerve block intraoperatively in a 4.5year old child with complete temporoMandibular joint ankyloses. The block was not possible preoperatively, therefore, it was administered after release of ankyloses. The use of peripheral Nerve stimulator increased the chances of a successful block. No intraoperative analgesics and muscle relaxants were required. Postoperative pain relief was excellent. Peripheral Nerve stimulator is an easy way of for accurate needle tip placement for Mandibular Nerve block in patients with distorted anatomy.