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
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)


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.


  • 1 Prabhu KP, Wig J, Grewal S. Bilateral infra-orbital nerve block is superior to peri-incisional infiltration for analgesia after repair of cleft lip. Scand J Plast Reconstr Surg Hand Surg 1999;33:83-7.
  • 2 Datta A, Ahuja S, Krishnan A. Infra-orbital nerve block for relief of postoperative pain following cleft lip surgery in infants. Anaesthesia 1994;49:441-4.
  • 3 Nicodemus HF, Ferrer MJ, Decastro L, et al. Bilateral infraorbital block with 0.5% bupivacaine as postoperative analgesia following cheiloplasty in children. Scand J Plast Reconstr Surg Hand Surg 1991;25:253.
  • 4 Tucker JH and Flynn JF. Head and neck regional blocks. In: Brown DL, editor. Regional Anesthesia and Analgesia. Philadelphia: W B Saunders Company; 1996. p. 240-53.
  • 5 Hanallah RS, Broadman LM, Belman AB. Comparison of caudal and ilioinguinal / iliohypogastric nerve blocks for control of post orchiopexy pain in pediatric ambulatory surgery. Anesthesiology 1987;66:832-4.