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Regional Anesthesia for Cosmetic Surgery of the Face and Neck

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Cosmetic Surgery

Abstract

The effectiveness of cephalic blocks is based on a sound knowledge of nerve territories and their boundaries. After some anatomical reminders, different techniques of anesthesia applied to each type of surgery are described. The realization of these blocks follows the general rules of any anesthesia especially with regards to clinical supervision and asepsis. These are techniques that fall within the framework of an alternative to conventional general anesthesia and that can be combined with sedation.

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References

  1. Shapiro PA (2008) Anesthesia for outpatient cosmetic ­surgery. Curr Opin Anaesthesiol 21:704–710

    Article  PubMed  Google Scholar 

  2. Kahle W, Leonhardt H, Platzer W (1979) Anatomy of the nervous system. Flammarion Medicine and Science, Paris, pp 116–120

    Google Scholar 

  3. Smith DW, Peterson MR, De Berard SC (1999) Regional anesthesia. Nerve blocks of the extremities and face. Postgrad Med 106(4):69–73

    Article  PubMed  CAS  Google Scholar 

  4. Navez M, Molliex S, Auboyer C (1997) The blocks of the face. Conferences updating the SFAR. Elsevier, Paris, pp 237–249

    Google Scholar 

  5. Stromberg BV (1985) Regional anesthesia in head and neck surgery. Clin Plast Surg 12(1):123–136

    PubMed  CAS  Google Scholar 

  6. Ismail AR, Anthony T, Mordant DJ, MacLean H (2006) Regional nerve block of the upper eyelid in oculoplastic surgery. Eur J Ophthalmol 16(4):509–513

    PubMed  CAS  Google Scholar 

  7. Molliex S, Navez M, Baylot D, Prades JM, Elkhoury Z, Auboyer C (1996) Regional anesthesia for outpatient nasal surgery. Br J Anaesth 76(1):151–153

    Article  PubMed  CAS  Google Scholar 

  8. Bernard JM, Péréon Y (2005) Nerve stimulation for regional anesthesia of the face: use of the blink reflex to confirm the localization of the trigeminal nerve. Anesth Analg 101(2):589–591

    Article  PubMed  Google Scholar 

  9. Stajcic Z, Torodovic L (1997) Blocks of the foramen ­rotundum and the oval foramen: a reappraisal of extraoral maxillary and mandibular nerve injections. Br J Oral Maxillofac Surg 35(5):328–333

    Article  PubMed  CAS  Google Scholar 

  10. Pascal J, Navez M, Molliex S (2000) Blocks of nerves of the face. Prat Réanim Anesth 4(2):94–99

    Google Scholar 

  11. Martin C, Navez M, Prades JM (1992) Local anesthesia and locoregional ENT. EMC In-ORL 20(980-A10):1–12

    Google Scholar 

  12. Junca A, Marret E, Goursot G, Mazoit X, Bonnet F (2001) A comparison of ropivacaine and bupivacaine for cervical plexus block. Anesth Analg 92(3):720–724

    Article  PubMed  CAS  Google Scholar 

  13. Kays CR (1988) Regional versus local infiltration anesthesia of the face: case report and review. J S C Med Assoc 84(10):494–496

    PubMed  CAS  Google Scholar 

  14. Dicker RL, Syracuse VR (1978) Local anesthesia in facial plastic surgery. Otolaryngology 86(3 Pt 1):461–467

    Google Scholar 

  15. Chrisman B (1989) The facelift. J Dermatol Surg Oncol 15(8):812–822

    PubMed  CAS  Google Scholar 

  16. Spear SL, Mausner ME, Kawamoto HK (1987) Sliding genioplasty as a local outpatient procedure. A prospective two-center trial. Plast Reconstr Surg 80(1):55–67

    Article  PubMed  CAS  Google Scholar 

  17. Hurwitz JJ, Merkur S, De Angelis D (2000) Outcome of surgery in older patients lachrymal. Can J Ophthalmol 35(1):18–22

    PubMed  CAS  Google Scholar 

  18. Seager DJ, Simmons C (2002) Local anesthesia in hair transplantation. Dermatol Surg 28(4):320–328

    Article  PubMed  Google Scholar 

  19. Beauvillain C, Viale M, Rafady E, Litoux P, Legent F (1989) Dermatologic facial surgery in patients over 70 years. Apropos of 166 cases surgically treated in 1986 and 1987. Rev Laryngol Otol Rhinol (Bord) 110(2):183–185

    CAS  Google Scholar 

  20. Jones BM, Rajiv G (2004) Avoiding hematoma in cervicofacial rhytidectomy: a personal 8-year quest. Reviewing 910 patients. Plast Reconstr Surg 113(1):381–387

    Article  PubMed  Google Scholar 

  21. Akerman B, Hellberg IB, Trossvik C (1988) Primary ­evaluation of the local anesthetic properties of amide agent ropivacaine LEA-103. Acta Anaesthesiol Scand 32(7):571–578

    Article  PubMed  CAS  Google Scholar 

  22. Cederholm I, Evers H, Lofstrom B (1991) Effect of intradermal injection of saline or a local anaesthetic agent on skin blood flow - a methodological study in man. Acta Anaesthesiol Scand 35(3):208–215

    Article  PubMed  CAS  Google Scholar 

  23. Cederholm I, Evers H, Lofstrom JB (1992) Skin blood flow after intradermal injection of ropivacaine in various concentrations with and without epinephrine evaluated by laser Doppler flowmetry. Reg Anesth 17(6):322–328

    PubMed  CAS  Google Scholar 

  24. Cederholm I, Akerman B, Evers H (1994) Local analgesia and vascular effects of intradermal ropivacaine and bupivacaine in various concentrations with and without the addition of adrenaline in man. Acta Anaesthesiol Scand 38(4):322–327

    Article  PubMed  CAS  Google Scholar 

  25. Bartfield JM, Gennis P, Barbera J, Breuer B, Gallagher EJ (1990) Buffered versus plain lidocaine as a local anesthetic for simple laceration repair. Ann Emerg Med 19(12):1387–1389

    Article  PubMed  CAS  Google Scholar 

  26. Scheich C (1892) Die infiltrationsanästhésie (lokale anästhesie) und ihr verhältnis zur allgemeinen narkose (inhalationsanästhesie). Vehrdtsch Ges Chir 1:121

    Google Scholar 

  27. Kucera IJ, Lambert TJ, Klein JA, Watkins R, Hoover JM, Kaye AD (2006) Liposuction: issues for the cotemporary anaesthesiologists. J Clin Anesth 18(5):379–387

    Article  PubMed  Google Scholar 

  28. Breuninger H, Hobbach PS, Schimek F (1999) Ropivacaine: an important anesthetic agent for slow infusion and other forms of tumescent anesthesia. Dermatol Surg 25(10):799–802

    Article  PubMed  CAS  Google Scholar 

  29. Hanke CW, Sommer B, Sattler G (eds) (2001) Tumescent local anesthesia. Springer-Verlag, Berlin

    Google Scholar 

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Correspondence to Arnaud Deleuze MD .

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Deleuze, A., Gentili, M., Bonnet, F. (2013). Regional Anesthesia for Cosmetic Surgery of the Face and Neck. In: Shiffman, M., Di Giuseppe, A. (eds) Cosmetic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-21837-8_6

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  • DOI: https://doi.org/10.1007/978-3-642-21837-8_6

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-21836-1

  • Online ISBN: 978-3-642-21837-8

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