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Regional Anesthesia
Published in Marwali Harahap, Adel R. Abadir, Anesthesia and Analgesia in Dermatologic Surgery, 2019
Nerve block technique(s) (Fig. 1): Identify the infraorbital foramen. This is located in the midpupillary line approximately 2 cm below the inferior orbital rim.Inject 2 to 3 mL of 1–2% lidocaine (choose concentration after considering volume and dosing limitations) in a fan-shaped pattern circumferentially around the foramen. This will block the infraorbital nerve. Injection depth should be submuscular near the bony surface.Along the zygoma, approximately 2 cm lateral to and 2 cm inferior to the lateral canthus, inject 2 to 3 mL of anesthetic in a fan-shaped pattern as above. This will block the zygomaticotemporal nerve. Injection should be submuscular near the bony surface.
The Gallbladder (GB)
Published in Narda G. Robinson, Interactive Medical Acupuncture Anatomy, 2016
Zygomaticotemporal nerve (CN V2): A sensory branch of the trigeminal nerve that courses along the lateral wall of the orbit in a groove housed in the zygomatic bone. The zygomaticotemporal nerve receives a communicating branch from the lacrimal nerve, then travels through the zygomaticotemporal foramen in the zygomatic bone. After it enters the temporal fossa, it ascend between the bone and the temporalis muscle. The nerve exits the fascia approximately one inch dorsal to the zygomatic arch. It supplies the skin of the lateral forehead with sensation. The zygomaticotemporal nerve crosstalks with the facial nerve as well as the auriculotemporal nerve (CN V3).
Clinical Neuroanatomy
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
The middle branch of the Vth nerve ganglion lies in the extreme lower lateral wall of the cavernous sinus and exits via the foramen rotundum, passes through the pterygopalatine fossa and enters the floor of the orbit via the inferior orbital fissure (Figure 111.7). At first, it lies in a groove in the orbital floor and then enters the short canal and exits on to the face via the infraorbital foramen. It supplies the skin of the cheek, midlateral nose and lateral part of the alar, lower eyelid and the mucous membrane of the cheek and upper lip. In its course, it gives off the following branches: Meningeal branches to the floor of the middle cranial fossaTwo branches to the sphenopalatine ganglion, conveying the secretomotor fibres destined for the lacrimal glandThe zygomatic nerve, which lies on the floor of the orbit, dividing into the zygomaticotemporal nerve (secretomotor to the lacrimal gland and carrying cutaneous sensation from the temporal area) and the zygomaticofacial nerve which, after penetrating the zygomatic bone, carries cutaneous sensation from the prominence of the cheekThe three alveolar nerves convey sensation from the teeth, gums and adjacent palate via the superior dental plexus. The anterior superior branch is the largest and supplies not only the incisor and canine teeth, but also the lateral nasal wall, nasal septum, the lower eyelid and the skin of the upper lip.
Multimodal analgesia in neurosurgery: a narrative review
Published in Postgraduate Medicine, 2022
Caterina Aurilio, Maria Caterina Pace, Pasquale Sansone, Luca Gregorio Giaccari, Francesco Coppolino, Vincenzo Pota, Manlio Barbarisi
Regional scalp block (RSB) is a well-established technique that consists in the infiltration of anatomical sites, where the nerves provide sensation to the scalp. The main nerves to infiltrate are the supraorbital nerve, supratrochlear nerve, auriculotemporal nerve, zygomaticotemporal nerve, greater occipital nerve, and lesser occipital nerve.