双侧精神神经阻滞治疗下唇撕裂伤1例。

IF 0.7 Q4 SURGERY

International Journal of Surgery Case Reports Pub Date : 2025-09-23 DOI:10.1016/j.ijscr.2025.111978

Osbert Arihaihi , Filimin Niyongabo , Lars Ingmar Veldhuis , Isabella Epiu

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引用次数: 0

摘要

简介和重要性：周围神经阻滞已被证明可在紧急情况下提供有效和安全的镇痛，并可防止全身麻醉。病例介绍：本报告描述了在乌干达西南部一家地区转诊医院成功使用2%利多卡因和0.5%等比重布比卡因1:1混合物的双侧精神神经阻滞治疗一名28岁男性下唇撕裂。临床讨论：口外技术实现了完全麻醉，允许伤口精确修复，并提高了患者的舒适度，无并发症。结论：本病例强调了区域麻醉在创伤性唇部撕裂伤急诊护理中的应用，减少了全身镇痛的需要，提高了患者的舒适度。

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Bilateral mental nerve block in lower lip laceration repair: A case report

Introduction and importance

Peripheral nerve blocks have been proven to provide effective and safe analgesia in emergency settings and can prevent general anesthesia.

Case presentation

This report describes the successful use of a bilateral mental nerve block employing a 1:1 mixture of 2 % lidocaine and 0.5 % isobaric bupivacaine in a 28-year-old male presenting with lower lip lacerations at a Regional Referral Hospital in southwestern Uganda.

Clinical discussion

The extraoral technique achieved complete anesthesia, allowed precise wound repair, and enhanced patient comfort without complications.

Conclusion

This case highlights the utility of regional anesthesia in emergency wound care for traumatic lip lacerations, minimizing the need for systemic analgesics and enhancing patient comfort.

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