Podcast 599: Facial Blocks for the Win

<p><strong>Contributor: Don Stader, MD</strong></p> <p><strong>Educational Pearls:</strong></p> <ul> <li style="font-weight: 400;"><span style="font-weight: 400;">Local anesthetics injected directly into wounds can cause distortion - especially important in facial lacerations</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Several blocks can be helpful to help numb branches of the trigeminal nerve (CN V) which innervates the face:</span></li> <li style="list-style: none; display: inline"> <ul> <li style="font-weight: 400;"><span style= "font-weight: 400;">Supraorbital nerve block: blocks distribution of V1 (most of the forehead) through injection above the eyebrow</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">External nasal nerve block: blocks superficial innervation of nose through injection along the nasal dorsum  </span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Infraorbital nerve block: blocks innervation to lip and cheek by injection below the eye</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Mental nerve block: blocks innervation to chin and lower lip by injection at the mandible</span></li> </ul> </li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Zygomatic nerve block: blocks innervation to temporal scalp and lateral aspect of forehead by injection at the temple</span></li> <li style="font-weight: 400;"><span style= "font-weight: 400;">Greater auricular nerve block: blocks innervation to on and around the lower ear by injection across the sternocleidomastoid </span></li> </ul> <p><strong>References</strong></p> <p><span style="font-size: 10pt;"><a href= "http://highlandultrasound.com/facial-blocks"><span style= "font-weight: 400;">http://highlandultrasound.com/facial-blocks</span></a></span></p> <p><span style="font-weight: 400; font-size: 10pt;"><a href= "https://www.nysora.com/techniques/head-and-neck-blocks/nerve-blocks-face/"> https://www.nysora.com/techniques/head-and-neck-b