TY - BOOK AU - Michael Botros Fawzy Haroun AU - Azza Mohamed Ezzat , AU - Karim Kamal Fahim , AU - Mohamed Ibrahim Alsonbaty , TI - Comparative study of bilateral greater palatine nerve block and bilateral suprazygomatic maxillary nerve block for perioperative analgesia in children undergoing palatoplasty / PY - 2015/// CY - Cairo : PB - Michael Botros Fawzy Haroun , KW - GPN KW - SMN KW - Suprazygomatic N1 - Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Anaesthesia; Issued also as CD N2 - 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 UR - http://172.23.153.220/th.pdf ER -