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10.1097/SCS.0000000000012101 http://scihub22266oqcxt.onion/10.1097/SCS.0000000000012101 41343768!?!41343768       J+Craniofac+Surg 2025 ; ? (?): ? Nephropedia Template TP {{tp|p=41343768|t=2025. Preoperative Suprazygomatic Maxillary Nerve Block to Reduce Perioperative Opioid Use in Pediatric Primary Cleft Palate Repair: Preliminary Clinical Experience |pdf=|usr=}}{{41343768}} gab.com Text Preoperative Suprazygomatic Maxillary Nerve Block to Reduce Perioperative Opioid Use in Pediatric Primary Cleft Palate Repair: Preliminary Clinical Experience JO: J Craniofac Surg http://www.kidney.de/pget.php?&tw=1&pmid=41343768 #FOAvip OBJECTIVE: This explorative study aimed to investigate the potential association between preoperative ultrasound-guided suprazygomatic maxillary nerve block (SMNB) and reduced perioperative opioid consumption in pediatric patients undergoing primary cleft palate repair. The authors hypothesized that SMNB would decrease the need for opioid analgesics for perioperative pain management. DESIGN: A retrospective cohort study. The control group underwent primary cleft palate repair without SMNB, while the intervention group received bilateral SMNB preoperatively. SETTING: This study was conducted at the Department of Plastic Surgery, Maastricht University Medical Centre MosaKids Children's Hospital, a tertiary care institution. PATIENTS, PARTICIPANTS: Twenty pediatric patients (below 2 y) were included. Ten received SMNB, and 10 historical controls were selected from an existing database. INTERVENTIONS: The SMNB group received bilateral ultrasound-guided 0.15 mL/kg of 0.25% bupivacaine with adrenaline (1:200,000) under general anesthesia. The control group did not receive a regional nerve block. MAIN OUTCOME MEASURES: The primary outcome was perioperative opioid consumption (tramadol and morphine). Secondary outcomes included additional analgesic use (paracetamol, NSAIDs) and length of hospital stay. RESULTS: Morphine consumption was significantly lower in the SMNB group (median 0.00 mg versus 0.75 mg, P=0.02), while tramadol use showed no significant difference (P=0.23). Secondary outcomes, including additional analgesic use and hospital stay, were not significantly different. CONCLUSION: Preoperative ultrasound-guided SMNB may be associated with reduced perioperative opioid consumption in pediatric primary cleft palate surgery. Larger, preferably randomized trials are needed to confirm its role in multimodal analgesia protocols. Twit Text FOAVip Preoperative Suprazygomatic Maxillary Nerve Block to Reduce Perioperative Opioid Use in Pediatric Primary Cleft Palate Repair: Preliminary Clinical Experience ????J Craniofac Surg http://www.kidney.de/pget.php?&tw=1&pmid=41343768 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=41343768 #FOAvip English Wikipedia <ref>{{Cite pmid|41343768}}</ref> Preoperative Suprazygomatic Maxillary Nerve Block to Reduce Perioperative Opioid Use in Pediatric Primary Cleft Palate Repair: Preliminary Clinical Experience #MMPMID41343768 Wijnants N; Hanot J; Ramaut LE; van Kuijk SMJ; Booi DI; van der Hulst RRWJ; Schols RM J Craniofac Surg 2025[Dec]; ? (?): ? PMID41343768show ga OBJECTIVE: This explorative study aimed to investigate the potential association between preoperative ultrasound-guided suprazygomatic maxillary nerve block (SMNB) and reduced perioperative opioid consumption in pediatric patients undergoing primary cleft palate repair. The authors hypothesized that SMNB would decrease the need for opioid analgesics for perioperative pain management. DESIGN: A retrospective cohort study. The control group underwent primary cleft palate repair without SMNB, while the intervention group received bilateral SMNB preoperatively. SETTING: This study was conducted at the Department of Plastic Surgery, Maastricht University Medical Centre MosaKids Children's Hospital, a tertiary care institution. PATIENTS, PARTICIPANTS: Twenty pediatric patients (below 2 y) were included. Ten received SMNB, and 10 historical controls were selected from an existing database. INTERVENTIONS: The SMNB group received bilateral ultrasound-guided 0.15 mL/kg of 0.25% bupivacaine with adrenaline (1:200,000) under general anesthesia. The control group did not receive a regional nerve block. MAIN OUTCOME MEASURES: The primary outcome was perioperative opioid consumption (tramadol and morphine). Secondary outcomes included additional analgesic use (paracetamol, NSAIDs) and length of hospital stay. RESULTS: Morphine consumption was significantly lower in the SMNB group (median 0.00 mg versus 0.75 mg, P=0.02), while tramadol use showed no significant difference (P=0.23). Secondary outcomes, including additional analgesic use and hospital stay, were not significantly different. CONCLUSION: Preoperative ultrasound-guided SMNB may be associated with reduced perioperative opioid consumption in pediatric primary cleft palate surgery. Larger, preferably randomized trials are needed to confirm its role in multimodal analgesia protocols. ?Preoperative Suprazygomatic Maxillary Nerve Block to Reduce Perioperat(epmc).pdf DeepDyve Pubget Overpricing