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Face Regional BlockAka: Regional Anesthesia for the Central Face, Infraorbital Nerve Block

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  1. Indication
    1. Regional anesthesia for upper lip, cheeks, nose (part)
  2. Physiology: Landmarks for Infraorbital Nerve
    1. Exits skull at infraorbital foramen
    2. Centered below midline of orbit
  3. Technique: Infraorbital nerve block
    1. Locate infraorbital foramen as above
    2. Insert needle
      1. Insert inferior to foramen by 1 cm (slightly medial)
      2. Direct needle toward supraorbital foramen
      3. Avoid approaching orbit
    3. Infiltrate at infraorbital foramen
      1. Use 2-4 cc of 1% Lidocaine
      2. Inject just above bone level
      3. Redirect needle if Paresthesias or sharp pain
  4. References
    1. Moy in Pfenninger (1994) Procedures, p. 145-55
    2. Salam (2004) Am Fam Physician 69(3):585

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