SCPNB is an adjuvant to local anaesthesia for maxillofacial surgical practice

Sachin Kumar; Pranav Parashar; Saurabh Mallick; Dr Abhishek; Sanjivani L Mane; Adsure Girija

doi:10.6026/97320630019605

SCPNB is an adjuvant to local anaesthesia for maxillofacial surgical practice

Bioinformation. 2023 May 31;19(5):605-610. doi: 10.6026/97320630019605. eCollection 2023.

Authors

Sachin Kumar¹, Pranav Parashar², Saurabh Mallick³, Dr Abhishek⁴, Sanjivani L Mane⁵, Adsure Girija⁶

Affiliations

¹ Department of Oral and Maxillofacial Surgery School of Dental Sciences, Sharda University, Greater Noida, UP, India.
² Department of Dentistry, N.S.C.B. Medical College & Hospital, Jabalpur, M.P, India.
³ Department of Oral & Maxillofacial Surgery, Mallick Dental & Maxillofacial Centre, Ranchi, Jharkhand, India.
⁴ Department of Oral and Maxillofacial Surgery Oro Care Facial Trauma Centre, Patna, Bihar, India.
⁵ Department of General Pathology and Microbiology, MA Rangoonwala College of Dental Sciences & Research Centre, Pune, Maharashtra, India.
⁶ Department of Orthodontics & Dentofacial Orthopaedics, MA Rangoonwala College of Dental Sciences & Research Centre, Pune, Maharashtra, India.

Abstract

The superficial cervical plexus nerve block [SCPNB] procedure is frequently used throughout head and neck surgery because it is simple to learn and has a low rate of complications. The investigation of this method might produce superior outcomes in treating frequent maxillofacial disorders including mandibular fractures and infections of the odontogenic region. The SCPNB is known to play a part in the medical evacuation of head and neck abscesses, the excision of superficial diseases in the perimandibular region, and the therapy of mandibular fracture, despite the dearth of research in this area. Considering this background, it was expected that the SCPNB might be helpful as an adjuvant to regional anaesthesia in maxillofacial surgery. The purpose of this study was to assess the effectiveness of the SCPNB in the treatment of mandibular fractures and infectious diseases in the perimandibular area. 48 patients with either submandibular space infections or mandibular injuries who were anticipated for surgical procedure under regional anaesthesia participated in a prospective randomized clinical study (eg, inferior alveolar nerve block, long buccal nerve block). Administering a combination of a local infiltration and regional anaesthesia was used as the control group. Regional anaesthesia and a SCPNB were administered to the intervention class. The following factors were examined: pain, anaesthesia's duration and onset, waiting period before initial analgesic demand, pulse rate, and blood pressure. The unpaired t-test was used to compare groups. Multiple variables ANOVA (for more than two observations) was used for intragroup analysis, accompanied by a post-hoc analysis of variance. In aspects of intra - operative pain at thirty minutes, time required of anaesthesia, intraoperative anesthetic necessity, duration until first analgesic recommendation, and intra - operative diastolic arterial blood pressure at ten minutes, the SCPNB group demonstrated a substantial (P ≤.01) improved performance. It can be concluded that the use of a regional anaesthetic approach in conjunction with a SCPNB is a good substitute to localized infiltration for patients having surgery for fracture of mandible and perimandibular area infections.

Keywords: Superficial cervical plexus nerve block; alternative; local anaesthesia; maxillofacial surgery.