Comparative Study of Bilateral Greater Palatine Nerve Block and Bilateral Suprazygomatic Maxillary Nerve Block for Intraoperative Analgesia in Children Undergoing Palatoplasty, MICHAEL BOTROS, AZZA EZZAT, KARIM GIRGIS, MOHAMED EL-SONBATY and MOHAMED SELIM
Abstract
Background: Regional anesthesia in pediatrics is recom-mended especially in congenital Cleft Palate (CP). Greater Palatine Nerve block (GPN) and Suprazygomatic Maxillary Nerve block (SMN) are methods for regional block in CP.
Patients and Methods: Forty pediatric patients were divided into 2 groups: 20 patients received bilateral greater palatine nerve block and 20 patients received bilateral supra-zygomatic nerve block. All regional block were received after general anesthesia. Intraoperative hemodynamics, number of fentanyl doses and complications were recorded.
Results: There were no significant differences between both groups in demographic data, hemodynamic parameters, intraoperative complications. Intraoperative analgesic require-ments were significantly less in GPN group than SMN group.
Conclusion: Bilateral GPN block in children undergoing palatoplasty was accompanied by superior levels of intraop-erative analgesia as compared to the use of bilateral SMN block in the same population.