Extraoral mandibular nerve block with peripheral nerve stimulator for temporomandibular surgery

IntroductionAdequate postoperative pain relief after gap arthroplasty is usually managed by intravenous opioids and NSAIDs with their inherent side effects. Mandibular nerve block provides good quality and long lasting analgesia. Use of peripheral nerve stimulator aids the block in cases with distorted anatomy.MethodsWe describe the use of peripheral nerve stimulator for extra-oral mandibular nerve block in patients undergoing temporomandibular surgery.ResultsSince the peripheral nerve stimulator provides an objective identification of the nerve, the success is close to 100%. Pain relief is excellent with reduction in intraoperative and postoperative consumption of opioids and NSAIDs. Postoperative pain relief lasts for at least 8 h and reduces subsequent requirement of analgesics.ConclusionPeripheral nerve stimulator is a sure, safe and easy option available for mandibular nerve block in patients undergoing temporo-mandibular surgery especially with distorted anatomy.