Michael Botros Fawzy Haroun <br/><br/>
Comparative study of bilateral greater palatine nerve block and bilateral suprazygomatic maxillary nerve block for perioperative analgesia in children undergoing palatoplasty /  
 دراسة مقارنة بين غلق العصب الحنكى الكبير على الجانبين و غلق العصب الفوق و جنى بالفك العلوى على الجانبين لتخفيف الألم أثناء و بعد الجراحة للأطفال الذين سيخضعون لجراحة تجميل الحنك 
Michael Botros Fawzy Haroun ; Supervised Azza Mohamed Ezzat , Karim Kamal Fahim , Mohamed Ibrahim Alsonbaty 
 - Cairo :   Michael Botros Fawzy Haroun ,   2015 
 - 104 Leaves :   facsimiles ;   25cm 
<br/><br/>Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia 
<br/><br/> In this study The SMN block was done by a blind technique according to landmarks ; this may explain the decreased efficacy compared to the GPN block. Safety and feasibility of the block can be increased by using a nerve stimulator, which could stimulate the temporal muscle. The pterygopalatine fossa is situated just behind the muscle; disappearance of the muscular response to direct stimulation with the block needle indicates its tip is in the infratemporal fossa. The pterygopalatine fossa could also be localized with ultrasound guidance. Moreover, the use of ultrasound imaging may be useful if the distance between skin and pterygomaxillary fossa were slightly modified by the presence of the cleft palate  
<br/><br/>
<br/><br/><label>Subjects--Index Terms: </label>GPN SMN Suprazygomatic