scholarly journals Ultrasound-guided glossopharyngeal nerve block at pharyngeal wall level in a patient with carcinoma tongue

2020 ◽  
Vol 26 (1) ◽  
pp. 140
Author(s):  
Vinod Kumar ◽  
Prashant Sirohiya ◽  
Pratishtha Yadav ◽  
SachidanandJee Bharti
Pain Medicine ◽  
2020 ◽  
Vol 21 (6) ◽  
pp. 1208-1215
Author(s):  
Shanmuga Sundaram ◽  
Jyotsna Punj

Abstract Introduction The glossopharyngeal nerve lies posterior to the internal carotid artery at the submandibular region. The primary objective of this study was to compare ultrasound-guided glossopharyngeal nerve block (UGPNB) and landmark glossopharyngeal nerve block (GPNB). Materials & Methods Inclusion criteria were patients with unilateral Eagle syndrome and ear pain. Group UGPNB (N = 25) received three UGPNBs at weekly intervals with 1.5 mL of 0.5% ropivacaine and 20 mg of methylprednisolone. Group GPNB (N = 26) received landmark GPNB. Pain intensity was evaluated with the numerical rating scale (NRS) before every block, 30 minutes after every block, and at one, three, and five weeks after the third block. Quality of life, assessed using the Brief Pain Inventory (BPI), and satisfaction scores were noted. Results NRS scores before the second and third blocks and a week after were significantly lower in group UGPNB and comparable at weeks 3 and 5. NRS scores 30 minutes after every block were significantly decreased from the preblock values but were comparable between groups. In 68% of patients, a curvilinear probe delineated the internal carotid artery (ICA). Out-of-plane needle trajectory was required in 64% of patients. BPI and satisfaction scores were significantly better in the UGPNB group in the “block” weeks. Conclusions UGPNB with 1.5 mL of 0.5% ropivacaine and 20 mg of methylprednisolone injected posterior to the ICA in the submandibular region provides better pain relief for at least a week compared with an extraoral landmark technique when three weekly consecutive blocks are given. In most patients, a curvilinear probe and out-of-plane needle trajectory are most suitable for ultrasound block.


2017 ◽  
Vol 42 (2) ◽  
pp. 252-258 ◽  
Author(s):  
Josip Ažman ◽  
Tatjana Stopar Pintaric ◽  
Erika Cvetko ◽  
Kamen Vlassakov

2019 ◽  
Vol 13 (3) ◽  
pp. 279
Author(s):  
MukeshK Yadav ◽  
Dinesh Manoharan ◽  
SachidanandJ Bharati

2021 ◽  
Vol 71 ◽  
pp. 110249
Author(s):  
Theodosios Saranteas ◽  
Dimitrios Anagnostopoulos ◽  
Andreas Kostroglou ◽  
Rizos Souvatzoglou

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