J Dent Anesth Pain Med.  2020 Oct;20(5):331-335. 10.17245/jdapm.2020.20.5.331.

Successful use of Gasserian ganglion block for maxillo-mandibular fixation in a patient with severe pulmonary dysfunction-a case report

Affiliations
  • 1Department of Anaesthesiology, Vinayaka Missions Medical College, Vinayaka Missions Research foundation, Karaikal, Puducherry, India
  • 2Vairam Multispeciality Hospitals, Mayiladuthurai, India

Abstract

Various anesthetic techniques have been utilized for maxillo-mandibular fixation. We report the case of a patient with bilateral condylar and zygomatic arch fractures who had severe pulmonary dysfunction. The patient was administered bilateral image-guided Gasserian ganglion block through the foramen ovale to achieve surgical anesthesia. The technical details, advantages, and disadvantages of this rather unusual technique are discussed. The procedure could be a feasible technique when performed meticulously in cases where other approaches are deemed difficult.

Keyword

Gasserian Ganglion; Mandibular Fractures
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