REGIONAL ANESTHESIA OF THE TRIGEMINAL NERVE IN CRANIOFACIAL SURGERY

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Abstract


This article is devoted to the actual problem of regional blocks as a component of combined anesthesia with long andsuper-long surgical interventions in the maxillofacial region. The article describes in detail the anatomical and physiological features of the person’s innervation, the methods of performing regional blocks, describes the difficulties in performing them, the characteristics of performing neurostimulation, indications and probable complications. In particular, the incorrect interpretation of the appearance of a muscle response when stimulating the maxillary nerve is explained. The methods of neuroimaging are described in detail, from neurostimulation to ultrasound navigation and 3D-CT navigation.

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About the authors

Andrey Yu. Zajcsev

Petrovsky Russian National Research Center of Surgery; Sechenov First Moscow State Medical University

Email: rabotaz1@rambler.ru
119991, Moscow, Russian Federation; 119991, Moscow, Russian Federation
MD, PhD, DSc, Department of Anesthesiology and Reanomatology I, Petrovsky Russian National Research Center of Surgery, 119991, Moscow, Russian Federation; Leading researcher, associate professor, Department of Anesthesiology and Reanimatology, Sechenov First Moscow State Medical University, 119435, Moscow, Russian Federation

V. A Svetlov

Petrovsky Russian National Research Center of Surgery

119991, Moscow, Russian Federation

K. V Dubrovin

Petrovsky Russian National Research Center of Surgery; Sechenov First Moscow State Medical University

119991, Moscow, Russian Federation; 119991, Moscow, Russian Federation

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