PERIOCULAR LOCAL-ANESTHESIA - MEDIAL ORBITAL AS AN ALTERNATIVE TO SUPERIOR NASAL INJECTION

被引:31
作者
HUSTEAD, RF [1 ]
HAMILTON, RC [1 ]
LOKEN, RG [1 ]
机构
[1] GIMBEL EYE CTR,4935 40TH AVE NW,CALGARY T3A 2N1,AB,CANADA
关键词
AKINESIA; HYALURONIDASE; LOCAL ANESTHESIA; MEDIAL ORBITAL PERICONE BLOCK; SECONDARY BLOCK;
D O I
10.1016/S0886-3350(13)80166-6
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
We developed a new technique, the medial orbital pericone local anesthetic block, that surgeons can use as a secondary block when inferotemporal retrobulbar or peribulbar/periocular injection of local anesthetics results in incomplete anesthesia. Unlike secondary local injections placed in the superonasal quadrant of the orbit, our technique injects the anesthetic into the fat compartment of the nasal side of the globe, a site that is relatively avascular and lacks vital anatomic structures. In more than 15,000 patients, this method proved an effective, safe means of secondary block and promoted orbicularis oculi muscle akinesia.
引用
收藏
页码:197 / 201
页数:5
相关论文
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