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Revista Cubana de Anestesiología y Reanimación

ISSN 1726-6718 (Electronic)
Revista Cubana de Anestesiología y Reanimación
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2020, Number 2

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Revista Cubana de Anestesiología y Reanimación 2020; 19 (2)

Mental nerve block for brachytherapy of lip carcinoma

Catalá RJV, de los Llanos SLM, Rodilla FA, Cuesta MP
Full text How to cite this article

Language: Spanish
References: 8
Page: 1-9
PDF size: 278.45 Kb.


Key words:

lip cancer, lip brachytherapy, mental nerve block.

ABSTRACT

Introduction: Lip cancer is the most frequent tumor of the oral cavity that affects, above all, the lower lip. Brachytherapy is a unique treatment which is effective in early stages and, as adjuvant therapy to surgery, it is also effective in advanced stages. This technique is a painful process, a reason why deep sedation, intramuscular infiltrations of local anesthetic, and regional anesthesia techniques, among others, have been used.
Objective: To present a different and scarcely described anesthetic technique as an alternative to reduce the pain of this intervention.
Case presentation: Patient with lip carcinoma scheduled for brachytherapy. Bilateral mental nerve block is performed in the lower lip.
Conclusions: This type of block, due to its simplicity and effectiveness, is a useful alternative to deep sedation for brachytherapy in the lower lip.


REFERENCES

  1. Peiffert D, Coche Dequéant B, Lapeyre M, Renard S. Brachytherapy for head and neck cancers. Cancer Radiother. 2018;22(4):359-66.

  2. Mut A, Guinot JL, Arribas L, Díez Presa L, Tortajada MI, Santos MÁ, et al. High dose rate brachytherapy in early stage squamous-cell carcinoma of the lip. Acta Otorrinolaringol Esp. 2016;67(5):282-7.

  3. Chyrek AJ, Bieleda GMB, Burchardt WM, Chichel A, Wojcieszek PA. Adjuvant interstitial three-dimensional pulse-dose-rate-brachytherapy for lip squamous cellcarcinoma after surgical resection. J Contemp Brachytherapy. 2019;11(2):116-21.

  4. Guinot JL, Arribas L, Vendrell JB, Santos M, Tortajada MI, Mut A, et al. Prognostic factors in squamous cell lip carcinoma treated with high-dose-rate brachytherapy. Head Neck. 2014;36:1737-42.

  5. Moskovitz JB, Sabatino F. Regional nerve blocks of the face. Emerg Med Clin North Am. 2013;31:517-27.

  6. Tan FFSL, Schiere S, Reidinga AC, Wit F, Veldman PH. Blockade of the mental nerve for lower lip surgery as a safe alternative to general anesthesia in two very old patients. Local and Regional Anesthesia. 2015;8:11-4.

  7. Mesgarzadeh AH, Afsari H, Pourkhamne S, Shahamfar M. Efficacy of bilateral mental nerve block with bupivacaine for postoperative pain control in mandibular parasymphysis fractures. J Dent Res Dent Clin Dent Prospects. 2014;8:172-75.

  8. Elahi F, Manolitsis N, Ranganath YS, Reddy C. Mental nerve neuropathy following dental extraction. Pain Physician. 2014;17:375-80.




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Revista Cubana de Anestesiología y Reanimación. 2020;19