Effect of Combined Maxillary and Mandibular Nerve Block on Orthognathic Surgery Outcomes

Status: Recruiting
Location: See location...
Intervention Type: Other, Procedure
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Mandibular fractures are among the most common (60-70%) maxillofacial fractures observed in emergency rooms. In the closed reduction (non-surgical), the bone fragments are realigned manually or by using traction devices. The open reduction surgery of mandibular fractures should first ensure the restoration of the occlusion of the mandible to prevent postoperative malocclusion, followed by stabilization by means of rigid fixations such as plates, screws, and rigid intermaxillary blocks in order to minimise any nonunion, malunion, or delayed union of the fracture segments. These surgical procedures are associated with moderate postoperative pain, being the first 24 hours the most intense pain period. Maxillary and mandibular nerve blocks are performed in patients with refractory trigeminal neuralgia. However, there have been few studies evaluating the analgesic effects of these blocks for maxillofacial surgeries.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 60
Healthy Volunteers: f
View:

• American Society of Anesthesiologists (ASA) I/II patients,

• within the age group of 21-60 years

• both sex

• scheduled for elective faciomaxillary surgery

Locations
Other Locations
Egypt
Maha Ahmed AboZeid
RECRUITING
Al Mansurah
Contact Information
Primary
Maha A AboZeid, MD
mahazed@yahoo.com
02-01019216192
Time Frame
Start Date: 2023-08-01
Estimated Completion Date: 2027-03-31
Participants
Target number of participants: 60
Treatments
Active_comparator: Maxillary and mandibular nerve block (MMNB) group
receive bilateral combined maxillary and mandibular nerve block. Three mL of 0.5% isobaric bupivacaine will be injected for each nerve block after negative aspiration of blood.
Placebo_comparator: Control (C) group
not receive any nerve block
Sponsors
Leads: Mansoura University

This content was sourced from clinicaltrials.gov