• Annals of plastic surgery · Jul 2009

    Randomized Controlled Trial

    Bilateral extraoral, infraorbital nerve block for postoperative pain relief after cleft lip repair in pediatric patients: a randomized, double-blind controlled study.

    • Suna Akin Takmaz, Hale Yarkan Uysal, Afsin Uysal, Ugur Kocer, Bayazit Dikmen, and Bulent Baltaci.
    • Department of Anesthesiolgy and Reanimation, Ankara Training and Research Hospital, Ministry of Health, Ankara, Turkey. takmaz@isbank.net.tr
    • Ann Plast Surg. 2009 Jul 1;63(1):59-62.

    AbstractThe objective of this study was to evaluate the effectiveness of bilateral extraoral infraorbital nerve block with 0.25% bupivacaine administered at the end of surgery in postoperative pain relief after cleft lip repair. Forty ASA I-II children were randomly divided into 2 groups. Group I received 1.5 mL 0.25% bupivacaine and group II received 1.5 mL saline. FLACC scores of the patients in the recovery room in group I were 4 times less than in group II (P = 0.001) and in the first 4 hours postoperatively were apparently less in group I (P = 0.001). Mean time to first paracetamol requirement was longer in group I (P = 0.001). Total paracetamol consumption was lower in group I (P = 0.001). None of the patients required rescue tramadol in group I, whereas all patients in group II needed. In group I, parent satisfaction scores were higher (P = 0.001). Vomiting incidence was higher in group II (P = 0.028). Bilateral extraoral, infraorbital nerve block administered at the end of surgery provides satisfactory analgesia with high parental satisfaction and lower complication rates and reduces rescue analgesic consumption in patients undergoing repair of cleft lip.

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