Ultrasound-Guided Maxillary Nerve Block and Superficial Cervical Plexus Block During Surgery for Maxillary Malignancy: A Case Report
We report a case of ultrasound-guided craniocervical nerve blocks performed with ropivacaine for perioperative local/regional anesthesia in a patient who underwent right partial maxillary resection and neck dissection under general anesthesia. The patient was an 85-year-old woman with multiple medical comorbidities in whom analgesia using nonsteroidal anti-inflammatory drugs and opioids was expected to increase the risk of postoperative complications. Bilateral ultrasound-guided maxillary (V2) nerve blocks and a right superficial cervical plexus block were performed, which provided adequate perioperative anesthesia and avoided postoperative complications. The use of ultrasound-guided craniocervical nerve blocks with ropivacaine can be an effective approach for providing prolonged perioperative local anesthesia and analgesia, minimizing the need for other potentially problematic analgesics.
Right Maxillary Partial Resection and Maxillary (V2) Nerve Block.
The red line indicates the anatomic extent of the right maxillary partial resection. The blue dashed line indicates the effective distribution of the right ultrasound-guided maxillary (V2) nerve block.
Right Neck Dissection and Superficial Cervical Plexus Block.
The red line indicates the anatomic extent of the planned right neck dissection. The blue dashed line indicates the effective distribution of the right superficial cervical plexus block.
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