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Effectiveness of Low-Volume Versus High-Volume Ropivacaine for Ultrasound-Guided Maxillary Nerve Block in Double-Jaw Surgery: A Randomized Non-inferiority Trial.

Aesthetic Plast Surg

January 2025

State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Department of Anesthesiology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Background: Ultrasound-guided maxillary nerve block (UGMNB) is applied in oral and maxillofacial surgery to improve perioperative analgesia, decrease the risk of postoperative nausea and vomiting, and enhance recovery. However, the optimum volume of ropivacaine used for UGMNB is undetermined. Thus, it was hypothesized that in patients undergoing double-jaw surgery, low- and high-volume ropivacaine reduces perioperative pain with similar efficacy.

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The gagging reflex during dental treatment is a common concern for dentists and patients. Herein, we describe a novel approach to managing severe gagging reflex, termed the "KOJIMA program," using a systematic desensitization technique combined with an ultrasound-guided selective glossopharyngeal nerve block (UGSGNB). After performing the UGSGNB, the participants were trained to touch the inside of their mouths with a cotton swab.

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Background And Aims: Emergence agitation (EA) is frequently encountered following nasal surgeries, and postoperative pain is a significant contributing element. We aimed to assess the role of suprazygomatic maxillary nerve (MN) block (SMB) guided by ultrasound (US) in lowering EA incidence and enhancing analgesia quality in septorhinoplasty cases.

Material And Methods: Sixty cases aged 18-60 years, of both genders, categorized by the American Society of Anesthesiologists (ASA) I-II and listed for septorhinoplasty, were randomized to receive general anesthesia (GA) with either no block (the control group) or combined with bilateral US-guided SMB (the SMB group).

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Ultrasound-Guided Needle Aspiration and Antibiotic Injection for Subperiosteal Orbital Abscess: A Case Study and 3-Year Follow-Up.

Am J Case Rep

November 2024

Department of Ophthalmology, Eye Hospital, China Academy of Chinese Medical Sciences, Beijing, China.

Article Synopsis
  • Orbital abscess is a serious eye infection that can lead to vision loss or even death, necessitating prompt diagnosis and treatment.* -
  • A 45-year-old man with symptoms related to chronic sinusitis was diagnosed with an orbital subperiosteal abscess after imaging revealed significant fluid accumulation and tissue compression around the eye.* -
  • The patient underwent ultrasound-guided needle drainage and antibiotic injection, resulting in improved vision and resolution of symptoms by the seventh day post-procedure, with no recurrence noted over three years.*
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