rocuronium and Ankylosis

We describe the use of peripheral nerve stimulator for mandibular nerve block intraoperatively in a 4.5year old child with complete temporomandibular joint ankyloses. The block was not possible preoperatively, therefore, it was administered after release of ankyloses. The use of peripheral nerve stimulator increased the chances of a successful block. No intraoperative analgesics and muscle relaxants were required. Postoperative pain relief was excellent. Peripheral nerve stimulator is an easy way of for accurate needle tip placement for mandibular nerve block in patients with distorted anatomy.

Topics: Androstanols; Anesthesia, General; Anesthetics, Inhalation; Anesthetics, Intravenous; Anesthetics, Local; Ankylosis; Arthroplasty; Bupivacaine; Child, Preschool; Electric Stimulation Therapy; Female; Humans; Intraoperative Care; Lidocaine; Mandibular Nerve; Methyl Ethers; Nerve Block; Neuromuscular Blockade; Neuromuscular Nondepolarizing Agents; Propofol; Rocuronium; Sevoflurane; Temporomandibular Joint Disorders; Tomography, X-Ray Computed