The Journal of craniofacial surgery · 2025
Suprazygomatic Maxillary Nerve Block for Postoperative Pain Management in Cleft Lip and Palate Surgery.
СтатьяНаблюдательное исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rivera Moreno Ibeth Estefanía, Suárez Edo Elena, Galve Navarro Sandra, Alonso Vila Serafín, Munill Ferrer Montserrat, Robertson Ewan James, Munar Bauza Francisca
Аннотация
INTRODUCTION: Cleft lip and palate are among the most common congenital defects and their surgical correction is associated with significant postoperative pain, the use of high-dose opioids, and prolonged hospital stay.
OBJECTIVE: To evaluate the efficacy of suprazygomatic maxillary nerve block for postoperative pain management after cleft lip and palate surgery. The primary objective was to evaluate postoperative pain. Secondary objectives included description of perioperative analgesia and need for opioids, perioperative corticosteroid therapy, reintroduction of oral intake, and hospital length of stay.
METHODS: Retrospective observational study that included patients undergoing surgery for cleft lip and palate at the Vall d'Hebron University Hospital between February 2022 and September 2024 who received suprazygomatic nerve block. Main study variables included nonopioid drug and opioid use, adjuvant analgesic administration, pain evaluation scales, time to oral intake onset, and length of hospital stay. Statistical analysis was based on the description of mean, median, and quartile values using Student t test with a P -value of <0.05. Qualitative variables were analyzed by comparing proportions with a 95% confidence interval.
RESULTS: In 97% of cases, pain was adequately managed using nonopioid analgesia, and no patients required morphine for rescue analgesia. Intraoperative corticosteroids were administered in 92.5% of instances. Early oral intake onset was achieved in 86.11% of cases. The mean hospital stay duration was 51.06 hours.
CONCLUSIONS: The results support suprazygomatic block as an effective technique for postoperative pain management in cleft defect surgery. It facilitates rapid recovery, early oral intake, and a reduction in hospital stay length.
OBJECTIVE: To evaluate the efficacy of suprazygomatic maxillary nerve block for postoperative pain management after cleft lip and palate surgery. The primary objective was to evaluate postoperative pain. Secondary objectives included description of perioperative analgesia and need for opioids, perioperative corticosteroid therapy, reintroduction of oral intake, and hospital length of stay.
METHODS: Retrospective observational study that included patients undergoing surgery for cleft lip and palate at the Vall d'Hebron University Hospital between February 2022 and September 2024 who received suprazygomatic nerve block. Main study variables included nonopioid drug and opioid use, adjuvant analgesic administration, pain evaluation scales, time to oral intake onset, and length of hospital stay. Statistical analysis was based on the description of mean, median, and quartile values using Student t test with a P -value of <0.05. Qualitative variables were analyzed by comparing proportions with a 95% confidence interval.
RESULTS: In 97% of cases, pain was adequately managed using nonopioid analgesia, and no patients required morphine for rescue analgesia. Intraoperative corticosteroids were administered in 92.5% of instances. Early oral intake onset was achieved in 86.11% of cases. The mean hospital stay duration was 51.06 hours.
CONCLUSIONS: The results support suprazygomatic block as an effective technique for postoperative pain management in cleft defect surgery. It facilitates rapid recovery, early oral intake, and a reduction in hospital stay length.