Ultrasound-guided greater palatine nerve block: a case series of anatomical descriptions and clinical evaluations.
Identifieur interne : 000F14 ( Ncbi/Merge ); précédent : 000F13; suivant : 000F15Ultrasound-guided greater palatine nerve block: a case series of anatomical descriptions and clinical evaluations.
Auteurs : Najmus Sahar Hafeez [Canada] ; Rakesh V. Sondekoppam ; Sugantha Ganapathy ; Jerrold E. Armstrong ; Michael Shimizu ; Marjorie Johnson ; Peter Merrifield ; Khadry A. GalilSource :
- Anesthesia and analgesia [ 1526-7598 ] ; 2014.
Descripteurs français
- KwdFr :
- MESH :
- anatomie et histologie : Palais.
- Adulte, Agents colorants, Anesthésie dentaire, Bloc nerveux, Cadavre, Carbone, Femelle, Humains, Jeune adulte, Mâle, Palais, Échographie interventionnelle.
English descriptors
- KwdEn :
- MESH :
- chemical : Carbon, Coloring Agents.
- anatomy & histology : Palate.
- blood supply : Palate.
- innervation : Palate.
- methods : Nerve Block, Ultrasonography, Interventional.
- Adult, Anesthesia, Dental, Cadaver, Female, Humans, Male, Young Adult.
Abstract
Greater palatine nerve (GPN) block is commonly performed for maxillary and palatal anesthesia by using bony landmarks. Ultrasound (US) can be used to consistently identify greater palatine foramen (GPF) as a defect in the bony palate enabling US-guided injections near the foramen.
DOI: 10.1213/ANE.0000000000000329
PubMed: 24977913
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pubmed:24977913Le document en format XML
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<author><name sortKey="Hafeez, Najmus Sahar" sort="Hafeez, Najmus Sahar" uniqKey="Hafeez N" first="Najmus Sahar" last="Hafeez">Najmus Sahar Hafeez</name>
<affiliation wicri:level="1"><nlm:affiliation>From the Departments of *Anatomy and Cell Biology, †Anesthesia and Perioperative Medicine, and ‡Division of Oral and Maxillofacial Surgery, Western University, London, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>From the Departments of *Anatomy and Cell Biology, †Anesthesia and Perioperative Medicine, and ‡Division of Oral and Maxillofacial Surgery, Western University, London, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
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<author><name sortKey="Sondekoppam, Rakesh V" sort="Sondekoppam, Rakesh V" uniqKey="Sondekoppam R" first="Rakesh V" last="Sondekoppam">Rakesh V. Sondekoppam</name>
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<author><name sortKey="Ganapathy, Sugantha" sort="Ganapathy, Sugantha" uniqKey="Ganapathy S" first="Sugantha" last="Ganapathy">Sugantha Ganapathy</name>
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<author><name sortKey="Armstrong, Jerrold E" sort="Armstrong, Jerrold E" uniqKey="Armstrong J" first="Jerrold E" last="Armstrong">Jerrold E. Armstrong</name>
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<author><name sortKey="Shimizu, Michael" sort="Shimizu, Michael" uniqKey="Shimizu M" first="Michael" last="Shimizu">Michael Shimizu</name>
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<author><name sortKey="Johnson, Marjorie" sort="Johnson, Marjorie" uniqKey="Johnson M" first="Marjorie" last="Johnson">Marjorie Johnson</name>
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<author><name sortKey="Merrifield, Peter" sort="Merrifield, Peter" uniqKey="Merrifield P" first="Peter" last="Merrifield">Peter Merrifield</name>
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<author><name sortKey="Galil, Khadry A" sort="Galil, Khadry A" uniqKey="Galil K" first="Khadry A" last="Galil">Khadry A. Galil</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Ultrasound-guided greater palatine nerve block: a case series of anatomical descriptions and clinical evaluations.</title>
<author><name sortKey="Hafeez, Najmus Sahar" sort="Hafeez, Najmus Sahar" uniqKey="Hafeez N" first="Najmus Sahar" last="Hafeez">Najmus Sahar Hafeez</name>
<affiliation wicri:level="1"><nlm:affiliation>From the Departments of *Anatomy and Cell Biology, †Anesthesia and Perioperative Medicine, and ‡Division of Oral and Maxillofacial Surgery, Western University, London, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>From the Departments of *Anatomy and Cell Biology, †Anesthesia and Perioperative Medicine, and ‡Division of Oral and Maxillofacial Surgery, Western University, London, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
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<author><name sortKey="Sondekoppam, Rakesh V" sort="Sondekoppam, Rakesh V" uniqKey="Sondekoppam R" first="Rakesh V" last="Sondekoppam">Rakesh V. Sondekoppam</name>
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<author><name sortKey="Ganapathy, Sugantha" sort="Ganapathy, Sugantha" uniqKey="Ganapathy S" first="Sugantha" last="Ganapathy">Sugantha Ganapathy</name>
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<author><name sortKey="Armstrong, Jerrold E" sort="Armstrong, Jerrold E" uniqKey="Armstrong J" first="Jerrold E" last="Armstrong">Jerrold E. Armstrong</name>
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<author><name sortKey="Shimizu, Michael" sort="Shimizu, Michael" uniqKey="Shimizu M" first="Michael" last="Shimizu">Michael Shimizu</name>
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<author><name sortKey="Johnson, Marjorie" sort="Johnson, Marjorie" uniqKey="Johnson M" first="Marjorie" last="Johnson">Marjorie Johnson</name>
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<author><name sortKey="Merrifield, Peter" sort="Merrifield, Peter" uniqKey="Merrifield P" first="Peter" last="Merrifield">Peter Merrifield</name>
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<author><name sortKey="Galil, Khadry A" sort="Galil, Khadry A" uniqKey="Galil K" first="Khadry A" last="Galil">Khadry A. Galil</name>
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<series><title level="j">Anesthesia and analgesia</title>
<idno type="eISSN">1526-7598</idno>
<imprint><date when="2014" type="published">2014</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Anesthesia, Dental</term>
<term>Cadaver</term>
<term>Carbon</term>
<term>Coloring Agents</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Nerve Block (methods)</term>
<term>Palate (anatomy & histology)</term>
<term>Palate (blood supply)</term>
<term>Palate (innervation)</term>
<term>Ultrasonography, Interventional (methods)</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Agents colorants</term>
<term>Anesthésie dentaire</term>
<term>Bloc nerveux ()</term>
<term>Cadavre</term>
<term>Carbone</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Palais ()</term>
<term>Palais (anatomie et histologie)</term>
<term>Palais (innervation)</term>
<term>Échographie interventionnelle ()</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Carbon</term>
<term>Coloring Agents</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Palais</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Palate</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Palate</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Palate</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Nerve Block</term>
<term>Ultrasonography, Interventional</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Anesthesia, Dental</term>
<term>Cadaver</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Agents colorants</term>
<term>Anesthésie dentaire</term>
<term>Bloc nerveux</term>
<term>Cadavre</term>
<term>Carbone</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Palais</term>
<term>Échographie interventionnelle</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">Greater palatine nerve (GPN) block is commonly performed for maxillary and palatal anesthesia by using bony landmarks. Ultrasound (US) can be used to consistently identify greater palatine foramen (GPF) as a defect in the bony palate enabling US-guided injections near the foramen.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24977913</PMID>
<DateCompleted><Year>2014</Year>
<Month>10</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>08</Month>
<Day>20</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1526-7598</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>119</Volume>
<Issue>3</Issue>
<PubDate><Year>2014</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Anesthesia and analgesia</Title>
<ISOAbbreviation>Anesth. Analg.</ISOAbbreviation>
</Journal>
<ArticleTitle>Ultrasound-guided greater palatine nerve block: a case series of anatomical descriptions and clinical evaluations.</ArticleTitle>
<Pagination><MedlinePgn>726-30</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1213/ANE.0000000000000329</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Greater palatine nerve (GPN) block is commonly performed for maxillary and palatal anesthesia by using bony landmarks. Ultrasound (US) can be used to consistently identify greater palatine foramen (GPF) as a defect in the bony palate enabling US-guided injections near the foramen.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We scanned and injected 16 undissected well-embalmed hemisectioned cadaveric heads after excluding major anatomical malformations. A linear high-frequency hockey stick probe (7-13 MHz) positioned in long axis to the hard palate visualized GPF as a discontinuity in the hard palate. US-guided injections of 0.1 mL India ink were made in an oblique plane. Specimens were dissected immediately after injection, and dye distribution was noted. The success rate of identification of GPF, number of attempts, and number of successful injections were recorded. The technique was evaluated clinically in 7 patients undergoing dental procedures. Five patients had US-guided injections, and 2 patients received US-assisted greater palatine canal blocks.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">GPF was successfully identified in 16 hemisectioned heads (n = 16). In 7 of 16 hemisectioned cadaveric specimens (n = 7/16), needle pass was seen on the US and traces of India ink were found within the greater palatine canal and pterygopalatine fossa. In the remaining heads (n = 9/16), the dye was observed in the mucosal tissue of the hard palate anterior to the GPF or in the soft palate. Clinical evaluation reconfirmed successful identification of GPF by US in 6 of 7 patients (n = 6/7). US-guided injections were successful in 6 of the 8 attempted blocks (n = 6/8) with median number (range) of attempts being 2 (1-4). US-assisted injections were successful in 2 patients (n = 2/2).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">US has the potential to successfully locate and characterize GPF in normal and edentulous maxilla. US-guided GPN blocks can be technically challenging. The clinical applicability of US guidance or assistance for GPN block needs further evaluation in a larger sample of patients.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hafeez</LastName>
<ForeName>Najmus Sahar</ForeName>
<Initials>NS</Initials>
<AffiliationInfo><Affiliation>From the Departments of *Anatomy and Cell Biology, †Anesthesia and Perioperative Medicine, and ‡Division of Oral and Maxillofacial Surgery, Western University, London, Ontario, Canada.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Sondekoppam</LastName>
<ForeName>Rakesh V</ForeName>
<Initials>RV</Initials>
</Author>
<Author ValidYN="Y"><LastName>Ganapathy</LastName>
<ForeName>Sugantha</ForeName>
<Initials>S</Initials>
</Author>
<Author ValidYN="Y"><LastName>Armstrong</LastName>
<ForeName>Jerrold E</ForeName>
<Initials>JE</Initials>
</Author>
<Author ValidYN="Y"><LastName>Shimizu</LastName>
<ForeName>Michael</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Johnson</LastName>
<ForeName>Marjorie</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Merrifield</LastName>
<ForeName>Peter</ForeName>
<Initials>P</Initials>
</Author>
<Author ValidYN="Y"><LastName>Galil</LastName>
<ForeName>Khadry A</ForeName>
<Initials>KA</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Anesth Analg</MedlineTA>
<NlmUniqueID>1310650</NlmUniqueID>
<ISSNLinking>0003-2999</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D004396">Coloring Agents</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C028433">chinese ink</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>7440-44-0</RegistryNumber>
<NameOfSubstance UI="D002244">Carbon</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000766" MajorTopicYN="N">Anesthesia, Dental</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002102" MajorTopicYN="N">Cadaver</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002244" MajorTopicYN="N">Carbon</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004396" MajorTopicYN="N">Coloring Agents</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009407" MajorTopicYN="N">Nerve Block</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010159" MajorTopicYN="N">Palate</DescriptorName>
<QualifierName UI="Q000033" MajorTopicYN="N">anatomy & histology</QualifierName>
<QualifierName UI="Q000098" MajorTopicYN="N">blood supply</QualifierName>
<QualifierName UI="Q000294" MajorTopicYN="Y">innervation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018084" MajorTopicYN="N">Ultrasonography, Interventional</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<affiliations><list><country><li>Canada</li>
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</list>
<tree><noCountry><name sortKey="Armstrong, Jerrold E" sort="Armstrong, Jerrold E" uniqKey="Armstrong J" first="Jerrold E" last="Armstrong">Jerrold E. Armstrong</name>
<name sortKey="Galil, Khadry A" sort="Galil, Khadry A" uniqKey="Galil K" first="Khadry A" last="Galil">Khadry A. Galil</name>
<name sortKey="Ganapathy, Sugantha" sort="Ganapathy, Sugantha" uniqKey="Ganapathy S" first="Sugantha" last="Ganapathy">Sugantha Ganapathy</name>
<name sortKey="Johnson, Marjorie" sort="Johnson, Marjorie" uniqKey="Johnson M" first="Marjorie" last="Johnson">Marjorie Johnson</name>
<name sortKey="Merrifield, Peter" sort="Merrifield, Peter" uniqKey="Merrifield P" first="Peter" last="Merrifield">Peter Merrifield</name>
<name sortKey="Shimizu, Michael" sort="Shimizu, Michael" uniqKey="Shimizu M" first="Michael" last="Shimizu">Michael Shimizu</name>
<name sortKey="Sondekoppam, Rakesh V" sort="Sondekoppam, Rakesh V" uniqKey="Sondekoppam R" first="Rakesh V" last="Sondekoppam">Rakesh V. Sondekoppam</name>
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<country name="Canada"><noRegion><name sortKey="Hafeez, Najmus Sahar" sort="Hafeez, Najmus Sahar" uniqKey="Hafeez N" first="Najmus Sahar" last="Hafeez">Najmus Sahar Hafeez</name>
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