Fluoroscopy-guided suprazygomatic approach to pterygopalatine fossa block: a brief technical report.

IF 5.1 2区医学 Q1 ANESTHESIOLOGY

Regional Anesthesia and Pain Medicine Pub Date : 2025-05-02 DOI:10.1136/rapm-2024-106323

Pedro Hilton de Andrade Filho, Camila Lobo Ferreira, João Fernando Paulichenco Mantoan, Charles Amaral de Oliveira, Fabricio Dias Assis, Miles Day

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引用次数: 0

Abstract

Background: The pterygopalatine fossa (PPF) is a compartment with rich autonomic and somatic innervation of the head, making it a crucial target for pain management interventions. Among the various techniques described, the suprazygomatic approach to the PPF may be one of the safest. However, the application of fluoroscopy to guide this approach has not been previously reported.

Methods: To the best of our knowledge, this is the first report in the literature describing a fluoroscopy-guided suprazygomatic approach to the PPF block. This brief technical report provides a step-by-step description of the technique and presents five cases demonstrating its implementation.

Results: Five cases were successfully performed using the fluoroscopy-guided suprazygomatic approach for the management of primary and secondary headache disorders. The findings demonstrate that the technique is feasible, safe, and effective.

Conclusions: The fluoroscopy-guided suprazygomatic approach to the PPF offers a viable alternative to traditional methods and deserves further consideration in clinical practice.

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透视引导下斜颧上入路治疗翼腭窝阻滞：一份简短的技术报告。

背景：翼腭窝（pterygopalatine fossa， PPF）是头部具有丰富自主神经和躯体神经支配的隔室，是疼痛管理干预的重要靶点。在所描述的各种技术中，颧上入路可能是最安全的方法之一。然而，应用透视来指导这种方法尚未见报道。方法：据我们所知，这是文献中第一篇描述透视引导下颧上肌入路进入PPF阻滞的报道。这份简短的技术报告提供了对该技术的逐步描述，并展示了五个演示其实现的案例。结果：采用透视引导下的合颧上入路成功治疗原发性和继发性头痛疾病5例。结果表明，该技术是可行、安全、有效的。结论：透视引导下的颧上入路是一种可行的替代传统方法的方法，值得在临床实践中进一步考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Regional Anesthesia and Pain Medicine 医学-麻醉学

CiteScore

8.50

自引率

11.80%

发文量

175

审稿时长

6-12 weeks

期刊介绍： Regional Anesthesia & Pain Medicine, the official publication of the American Society of Regional Anesthesia and Pain Medicine (ASRA), is a monthly journal that publishes peer-reviewed scientific and clinical studies to advance the understanding and clinical application of regional techniques for surgical anesthesia and postoperative analgesia. Coverage includes intraoperative regional techniques, perioperative pain, chronic pain, obstetric anesthesia, pediatric anesthesia, outcome studies, and complications. Published for over thirty years, this respected journal also serves as the official publication of the European Society of Regional Anaesthesia and Pain Therapy (ESRA), the Asian and Oceanic Society of Regional Anesthesia (AOSRA), the Latin American Society of Regional Anesthesia (LASRA), the African Society for Regional Anesthesia (AFSRA), and the Academy of Regional Anaesthesia of India (AORA).