Suprazygomatic Maxillary Nerve Block Effect on Systemic Inflammatory Response in Cleft Palate Surgeries
Perioperative Inflammatory Response, Postoperative Pain
About this trial
This is an interventional treatment trial for Perioperative Inflammatory Response
Eligibility Criteria
Inclusion Criteria:
- Primary and secondary cleft palate Surgeries.
- American Society of Anesthesiologists physical status (ASA) I to II patients.
- Age group: 1-5 years old.
Exclusion Criteria:
- Presence of coagulation disorders.
- Peripheral neuropathy.
- Local infection or lesion in puncture site.
- Allergy to local Anesthetics.
- Physical status: ASA III or above.
Sites / Locations
- Faculty of dentisry Ainshams univeristyRecruiting
Arms of the Study
Arm 1
Arm 2
Active Comparator
No Intervention
Maxillary block group
Control group
The ultrasound probe will be placed in the infra zygomatic area, with an inclination of 45 degrees in the transverse plane. A 27-gauge 38-mm needle will be used for the injection. The needle will be inserted perpendicular to the skin at the frontozygomatic angle and advanced to the greater wing of the sphenoid. The needle will be then redirected and advanced to the pterygopalatine fossa. Loss of resistance after passing through the temporalis muscle will assist in determining the puncture depth, and real-time ultrasound guidance will allow seeing the spread of local anesthetic in the pterygopalatine fossa.
Patients will receive only general anesthesia with regulated doses of IV opioids.