Analgesic Efficacy of Inferior Alveolar Nerve Block for Mandibular fracture surgeries : A Prospective Case Series

Authors: Pinal Raj Bumiya, Zeal Pranavkumar Patwari, Divya Gajra, Kavita Lalchandani, Kumud Ganvit, Dr. Devyani Jatin Desai

DOI: 10.18231/j.ijca.11556.1760592855

Keywords: Inferior Alveolar Nerve Block, Mandibular surgery,ORIF

Abstract: Following road traffic accidents, the incidence of mandibular bone fracture was found to be maximum amongst other facial bone injuries. These fractures, usually repaired by open reduction and internal fixation (ORIF) are associated with significant perioperative pain. This leads to use of high doses of opioids and NSAIDs causing various side effects and limited mouth opening causing difficult airway. Hence, the concept of combining regional anaesthesia with conventional general anaesthesia got evolved. Mandible is precisely supplied by Inferior Alveolar nerve (IAN), branch of mandibular nerve. Amongst various techniques for IAN block (IANB), the Conventional Halstead technique is found to be the most effective. While IANB is practised commonly in dental anaesthesia, its analgesic use in mandibular surgeries is less explored which prompted this case series.