Efficacy of Ultrasound-Guided Maxillary Nerve Block.
DOI:
https://doi.org/10.36557/2674-8169.2025v7n6p629-644Keywords:
Maxillary nerve block, ultrasound, postoperative pain, regional anesthesia.Abstract
Introduction: Regional anesthesia, especially the ultrasound-guided maxillary nerve block (MNB), has become essential in maxillofacial surgery. This technique alleviates postoperative pain and reduces opioid dependency, thereby enhancing the safety profile. Objective: To evaluate the efficacy and safety of ultrasound-guided MNB in pain control, patient satisfaction, and reduction of analgesic consumption compared to other anesthetic techniques. Methodology: A systematic review was conducted following PRISMA, analyzing studies from 2018 to 2025 on the use of ultrasound-guided MNB in head and neck surgery. Results: Ultrasound-guided MNB potentially reduced the consumption of analgesics and improved postoperative pain control and patient satisfaction. Conclusion: Ultrasound-guided MNB is an effective and safe technique for managing postoperative pain in maxillofacial surgery. Its implementation reduces opioid use, enhances patient experience, and is well tolerated.
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Echaniz G, Chan V, Maynes JT, Jozaghi Y, Agur A. Ultrasound-guided maxillary nerve block: an anatomical study using the suprazygomatic approach. Can J Anesth/J Can Anesth. 1 de febrero de 2020;67(2):186-93. Disponible en: https://doi.org/10.1007/s12630-019-01481-x
Molins G, Valls-Ontañón A, De Nadal M, Hernández-Alfaro F. Ultrasound-Guided Suprazygomatic Maxillary Nerve Block Is Effective in Reducing Postoperative Opioid Use Following Bimaxillary Osteotomy. Journal of Oral and Maxillofacial Surgery. abril de 2024;82(4):412-21. Disponible en: https://linkinghub.elsevier.com/retrieve/pii/S0278239123013502
Kumita S, Murouchi T, Arakawa J. Ultrasound-guided maxillary and inferior alveolar nerve blocks for postoperative analgesia in gnathoplasty. Asian Journal of Anesthesiology. 1 de diciembre de 2017;55(4):89-90. Disponible en: https://www.sciencedirect.com/science/article/pii/S1875459716301114
Cao Z, Zhang K, Hu L, Pan J. Application of ultrasound guidance in the oral and maxillofacial nerve block. PeerJ. 26 de noviembre de 2021;9:e12543. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628623/
Kojima Y, Murouchi T, Okayama N, Asano K, Akiba M, Hamasaki J. Postoperative complications of ultrasound-guided inferior alveolar nerve and maxillary nerve blocks: a retrospective study. JA Clinical Reports. 16 de junio de 2022;8(1):42. Disponible en: https://doi.org/10.1186/s40981-022-00533-4
Yamaguchi A, Kojima Y, Hirabayashi K. Ultrasound-Guided Maxillary Nerve Block and Superficial Cervical Plexus Block During Surgery for Maxillary Malignancy: A Case Report. Anesthesia Progress. 2023;70(2):88-90. Disponible en: https://anesthesiaprogress.kglmeridian.com/view/journals/anpr/70/2/article-p88.xml
Martinus M, Mihaljevic S, Reiner K, Verzak Z, Panic MK, Strahija A, et al. Analgesic effect of ultrasound-guided extraoral mandibular nerve block compared to intraoral conductive block of the inferior alveolar nerve after lower third molar alveolectomy: a clinical prospective study. BMC Oral Health. 4 de septiembre de 2024;24(1):1041. Disponible en: https://doi.org/10.1186/s12903-024-04787-5
Ahmed MB, Zaghloul A, Maarouf A, Maarouf MM, Elshafie M. Ultrasound Guided Maxillary Nerve Block for Perioperative Pain Management for Patients Undergoing Endoscopic Sinus Surgery: Randomized Control Trial [Internet]. Anesthesiology and Pain Medicine; 2024 . Report No.: 14. Disponible en: https://brieflands.com/articles/aapm-144074#abstract
Mansour RF, and Abdelghany MS. Ultrasound-guided suprazygomatic maxillary nerve block in cleft palate surgery: The efficacy of adding dexmedetomidine to bupivacaine. Egyptian Journal of Anaesthesia. 1 de enero de 2021;37(1):329-36. Disponible en: https://doi.org/10.1080/11101849.2021.1953832
Esquerré T, Mure M, Minville V, Prevost A, Lauwers F, Ferré F. Bilateral ultrasound-guided maxillary and mandibular combined nerves block reduces morphine consumption after double-jaw orthognathic surgery: a randomized controlled trial. Reg Anesth Pain Med [Internet]. 2 de mayo de 2024; Disponible en: https://rapm.bmj.com/content/early/2024/07/08/rapm-2024-105497
Afandy ME, Abd Elghafar MS, Shoukr TG, El Mourad MB. Efficacy of ultrasound-guided suprazygomatic maxillary nerve block on emergence agitation and postoperative analgesia after septorhinoplasty: A prospective randomized trial. J Anaesthesiol Clin Pharmacol. 2024;40(4):679-85. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11694882/
Chen MK, Zhao L, Luo W, Luo K, Lin J, Ji Y. 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. 2025;49(5):1217-26. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965159/
Neupane A, Jain D, Arora S, Gandhi K, Singla V, Goel N, et al. Evaluation of ultrasound-guided suprazygomatic maxillary nerve block in functional endoscopic sinus surgery for postoperative pain relief: A randomised controlled trial. Indian J Anaesth. agosto de 2024;68(8):706-11. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11338370/
Sumalatha GB, Patel S, Yadav H, Dodawad R. Efficacy of Nalbuphine as An Adjunct to 0.5% Bupivacaine in Ultrasound- Guided Suprazygomatic Maxillary Nerve Block in Patients Undergoing Nasal and Maxillofacial Surgery – A Randomized Clinical Comparative Study. Sri Lankan J Anaesthesiol. 22 de enero de 2025;33(01):71-8. Disponible en:
Abu Elyazed MM, and Mostafa SF. Bilateral suprazygomatic maxillary nerve block versus palatal block for cleft palate repair in children: A randomized controlled trial. Egyptian Journal of Anaesthesia. 1 de julio de 2018;34(3):83-8. Disponible en: https://account.slja.sljol.info/index.php/sljo-j-slja/article/view/9415
Ramasamy AM, Sukumar SK, Srinivasan P, Kumar Kodali VR, Manickam A, Parameswari A, et al. A Comparative Study on the Analgesic Efficacy of Bilateral Suprazygomatic Maxillary Nerve Block Under Ultrasound Guidance with 0.25% Bupivacaine and 0.25% Bupivacaine with Dexmedetomidine in Paediatric Patients Undergoing Cleft Palate Repair - A Randomized Prospective Double Blinded Study. JARSS. 28 de enero de 2022;30(1):1-8. Disponible en: https://jag.journalagent.com/anestezi/pdfs/JARSS_30_1_1_8.pdf
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Copyright (c) 2025 Nicolle Indira Arcentales Balladares , Libia Isabel Zambrano Paredes , Cinthya Milena Segura Sánchez , Roxana Elizabeth Baquerizo Herrera , Marlon Vicente Moreira Morán
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