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CC BY-NC-ND 4.0 · Indian J Plast Surg 2004; 37(02): 105-109
DOI: 10.1055/s-0039-1697220
Original Article
Association of Plastic Surgeons of India

Comparison of preoperative infraorbital block with peri-incisional infiltration for postoperative pain relief in cleft lip surgeries

V. Gaonkar
Department of Anaesthesia, Lokmanya Tilak Munciple Medical College and General Hospital, Mumbai - 400 022, India
,
Swati R. Daftary
Department of Anaesthesia, Lokmanya Tilak Munciple Medical College and General Hospital, Mumbai - 400 022, India
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Publication History

Publication Date:
15 January 2020 (online)

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ABSTRACT

In this prospective, randomized study, children undergoing cleft lip surgery were either given infra-orbital nerve block (n=25) or peri-incisional infiltration (n=25) pre-operatively with 0.25% bupivacaine in 1:2,00,000 adrenaline.

The overall course of anesthesia in both the groups was smooth, with excellent hemodynamic stability, indicating better pain relief during the intra-operative period. The concentration of the anesthetic agent required was reduced and recovery from anesthesia was rapid and complete. There was excellent postoperative analgesia. The children were calm and comfortable postoperatively.

We conclude that infra-orbital nerve block with 0.25% bupivacaine with adrenaline provides more prolonged analgesia than peri-incisional infiltration in cleft lip repair. Infra-orbital block given by modified approach is easy to perform and free of side-effects.

KEY WORDS

Surgery: Cleft lip; Pain relief: Infraorbital block - peri-incisional infiltration
 

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