Vazirani–Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon
Background Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect. Materials and Methods A total of 140 ASA-I or ASA-II p...
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| Veröffentlicht in: | Journal of maxillofacial and oral surgery 2019-12, Vol.18 (4), p.628-633 |
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| container_title | Journal of maxillofacial and oral surgery |
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| creator | Jendi, Shoeb Kasim Thomas, Bibin George |
| description | Background
Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect.
Materials and Methods
A total of 140 ASA-I or ASA-II patients, both genders, between 16 and 45 years who required extraction of mandibular tooth were divided into two groups. Group A received nerve block through Halstead technique, while Group B received nerve block through Vazirani–Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. We evaluated the subjective and objective onset of anaesthesia, outcome of the injection, outcome of the aspiration and patient satisfaction.
Results
In Group A, the altered sensation was experienced at 68.70 s, while in Group B it was 92.55 s and the difference was statistically highly significant (
p
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| doi_str_mv | 10.1007/s12663-019-01183-3 |
| format | Article |
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Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect.
Materials and Methods
A total of 140 ASA-I or ASA-II patients, both genders, between 16 and 45 years who required extraction of mandibular tooth were divided into two groups. Group A received nerve block through Halstead technique, while Group B received nerve block through Vazirani–Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. We evaluated the subjective and objective onset of anaesthesia, outcome of the injection, outcome of the aspiration and patient satisfaction.
Results
In Group A, the altered sensation was experienced at 68.70 s, while in Group B it was 92.55 s and the difference was statistically highly significant (
p
< 0.001) between the two groups. The mean onset of anaesthesia (measured with Electric pulp tester) in Group A was 78.36 s, while for Group B it was 104.24 s and this difference was statistically highly significant (
p
< 0.001). Positive aspiration was seen in 11 (15.71%) patients in Group A and in 2 (2.86%) patients in Group B. The success rate for Group A was 81.42% and for Group B it was 97.14%.
Conclusion
Vazirani–Akinosi technique provides desirable surgical anaesthesia with relatively high success rate and lower incidence of positive aspiration and can be considered as a boon for oral and maxillofacial surgeons.</description><identifier>ISSN: 0972-8279</identifier><identifier>EISSN: 0974-942X</identifier><identifier>DOI: 10.1007/s12663-019-01183-3</identifier><identifier>PMID: 31624448</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Blood vessels ; Chi-square test ; Dentistry ; Females ; Local anesthesia ; Medicine ; Medicine & Public Health ; Oral and Maxillofacial Surgery ; Original ; Original Article ; Otorhinolaryngology ; Patient satisfaction ; Plastic Surgery ; Success ; Teeth</subject><ispartof>Journal of maxillofacial and oral surgery, 2019-12, Vol.18 (4), p.628-633</ispartof><rights>The Association of Oral and Maxillofacial Surgeons of India 2019</rights><rights>The Association of Oral and Maxillofacial Surgeons of India 2019.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-8c21cf53240c9bd41524b110ce178d7d41b5d888b1c6b4b4534bd7109a6542a13</citedby><cites>FETCH-LOGICAL-c474t-8c21cf53240c9bd41524b110ce178d7d41b5d888b1c6b4b4534bd7109a6542a13</cites><orcidid>0000-0002-1330-3153</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795644/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2919482130?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21388,21389,27924,27925,33530,33531,33744,33745,41488,42557,43659,43805,51319,53791,53793,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31624448$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jendi, Shoeb Kasim</creatorcontrib><creatorcontrib>Thomas, Bibin George</creatorcontrib><title>Vazirani–Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon</title><title>Journal of maxillofacial and oral surgery</title><addtitle>J. Maxillofac. Oral Surg</addtitle><addtitle>J Maxillofac Oral Surg</addtitle><description>Background
Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect.
Materials and Methods
A total of 140 ASA-I or ASA-II patients, both genders, between 16 and 45 years who required extraction of mandibular tooth were divided into two groups. Group A received nerve block through Halstead technique, while Group B received nerve block through Vazirani–Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. We evaluated the subjective and objective onset of anaesthesia, outcome of the injection, outcome of the aspiration and patient satisfaction.
Results
In Group A, the altered sensation was experienced at 68.70 s, while in Group B it was 92.55 s and the difference was statistically highly significant (
p
< 0.001) between the two groups. The mean onset of anaesthesia (measured with Electric pulp tester) in Group A was 78.36 s, while for Group B it was 104.24 s and this difference was statistically highly significant (
p
< 0.001). Positive aspiration was seen in 11 (15.71%) patients in Group A and in 2 (2.86%) patients in Group B. The success rate for Group A was 81.42% and for Group B it was 97.14%.
Conclusion
Vazirani–Akinosi technique provides desirable surgical anaesthesia with relatively high success rate and lower incidence of positive aspiration and can be considered as a boon for oral and maxillofacial surgeons.</description><subject>Blood vessels</subject><subject>Chi-square test</subject><subject>Dentistry</subject><subject>Females</subject><subject>Local anesthesia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oral and Maxillofacial Surgery</subject><subject>Original</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patient satisfaction</subject><subject>Plastic Surgery</subject><subject>Success</subject><subject>Teeth</subject><issn>0972-8279</issn><issn>0974-942X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kUtuFDEQhi0EIlHIBVggS2zYNLjs6rbNAmmIeEmBLBgQO8vtdk-c9NiJPR0BK-7ADTkJTiaExwJLlktVX_2u0k_IfWCPgTH5pADvOtEw0PWCEo24RXaZltho5J9uX8W8UVzqHbJfygmrR4DQAu6SHQEdR0S1S5Yf7deQbQw_vn1fnIaYSqDvfL7w9PmU3Cldenccw_nsn9JFpItS_IamkR5lO1EbB_rWfg7TlEbrQs28n_PKp3iP3BntVPz-9btHPrx8sTx43RwevXpzsDhsHErcNMpxcGMrODKn-wGh5dgDMOdBqkHWRN8OSqkeXNdjj63AfpDAtO1a5BbEHnm21T2b-7UfnI-bOpc5y2Ft8xeTbDB_V2I4Nqt0YTqp2w6xCjy6Fsip7lg2Zh2K89Nko09zMVwwCYidukQf_oOepDnHup7hGjQqDoJVim8pl1Mp2Y83wwAzl76ZrW-m-maufDOiNj34c42bll8uVUBsgVJLceXz77__I_sTP22jEw</recordid><startdate>20191201</startdate><enddate>20191201</enddate><creator>Jendi, Shoeb Kasim</creator><creator>Thomas, Bibin George</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1330-3153</orcidid></search><sort><creationdate>20191201</creationdate><title>Vazirani–Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon</title><author>Jendi, Shoeb Kasim ; Thomas, Bibin George</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-8c21cf53240c9bd41524b110ce178d7d41b5d888b1c6b4b4534bd7109a6542a13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Blood vessels</topic><topic>Chi-square test</topic><topic>Dentistry</topic><topic>Females</topic><topic>Local anesthesia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oral and Maxillofacial Surgery</topic><topic>Original</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patient satisfaction</topic><topic>Plastic Surgery</topic><topic>Success</topic><topic>Teeth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jendi, Shoeb Kasim</creatorcontrib><creatorcontrib>Thomas, Bibin George</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of maxillofacial and oral surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jendi, Shoeb Kasim</au><au>Thomas, Bibin George</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vazirani–Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon</atitle><jtitle>Journal of maxillofacial and oral surgery</jtitle><stitle>J. Maxillofac. Oral Surg</stitle><addtitle>J Maxillofac Oral Surg</addtitle><date>2019-12-01</date><risdate>2019</risdate><volume>18</volume><issue>4</issue><spage>628</spage><epage>633</epage><pages>628-633</pages><issn>0972-8279</issn><eissn>0974-942X</eissn><abstract>Background
Vazirani–Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead’s technique fails to provide desired anaesthetic effect.
Materials and Methods
A total of 140 ASA-I or ASA-II patients, both genders, between 16 and 45 years who required extraction of mandibular tooth were divided into two groups. Group A received nerve block through Halstead technique, while Group B received nerve block through Vazirani–Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. We evaluated the subjective and objective onset of anaesthesia, outcome of the injection, outcome of the aspiration and patient satisfaction.
Results
In Group A, the altered sensation was experienced at 68.70 s, while in Group B it was 92.55 s and the difference was statistically highly significant (
p
< 0.001) between the two groups. The mean onset of anaesthesia (measured with Electric pulp tester) in Group A was 78.36 s, while for Group B it was 104.24 s and this difference was statistically highly significant (
p
< 0.001). Positive aspiration was seen in 11 (15.71%) patients in Group A and in 2 (2.86%) patients in Group B. The success rate for Group A was 81.42% and for Group B it was 97.14%.
Conclusion
Vazirani–Akinosi technique provides desirable surgical anaesthesia with relatively high success rate and lower incidence of positive aspiration and can be considered as a boon for oral and maxillofacial surgeons.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>31624448</pmid><doi>10.1007/s12663-019-01183-3</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1330-3153</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central Free; ProQuest Central (Alumni Edition); SpringerNature Journals; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Blood vessels Chi-square test Dentistry Females Local anesthesia Medicine Medicine & Public Health Oral and Maxillofacial Surgery Original Original Article Otorhinolaryngology Patient satisfaction Plastic Surgery Success Teeth |
| title | Vazirani–Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon |
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