It was given by using Ropivacaine 0.5 %.30 ml (max.) to block supraorbital, supratrochlear, zygomaticotemporal
, Auriculotemporal, greater & lesser occipital, greater auricular nerves for better analgesia & perioperative Haemodynamic stability.
This technique was modified by Dautery, in which the greenstick fracture was carried out at the zygomaticotemporal
suture to serve as a stop to upward and forward movements of condylar head and inward and downward displacement of anterior segment.
(1), six nerves are identified by landmarks on each side of the cranium (supratrochlear, supraorbital, zygomaticotemporal, auriculotemporal, lesser occipital and greater occipital nerves), and they are subsequently infiltrated with a local anaesthetic dose ranging from 2 to 5 mL.
The supratrochlear, supraorbital, zygomaticotemporal, auriculotemporal, greater and lesser occipital nerves were blocked using the technique described by Pinosky et al.
According to Tyndall and Matteson (1), ZACD is located posteriorly from the zygomaticotemporal
suture in the zygomatic process of the temporal bone such as air-containing structures - external auditory meatus and mastoid cells.
It should be considered that the radioluscence image of the zygomaticotemporal
suture may be misjudged as a fracture.
The jugale (Ju) point was the most depressed point on the lateral surface of the zygoma, where the lateral margin of the zygomaticofrontal process met the upper margin of the zygomaticotemporal
Tissue planes are more adhered and there is no clear dissection plane in the lower temporal compartment and this compartment contains temporal branches of the facial nerve, zygomaticotemporal
nerve and the sentinel vein.
They typically include fractures of the zygomaticofrontal, zygomaticomaxillary, zygomaticotemporal
, and zygomaticosphenoid buttresses.
Supraorbital, Supratrochlear, Zygomaticotemporal
, Lesser and Greater occipital nerves were blocked with 22-G spinal needle.
Branches to the lateral aspects of the eyelids are present, and communication with the zygomaticotemporal
nerve has begun to develop.
approach to the skull base: A critical review of 11 patients.