{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T04:01:06Z","timestamp":1781236866015,"version":"3.54.1"},"reference-count":23,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:p>Perioperative analgesia in patients undergoing cleft lip and palate repair is complicated by the risk of postoperative airway obstruction. We describe a technique of combined infraorbital and external nasal nerve blocks to reduce the need for opioid analgesia. Using this technique, we have successfully performed cleft lip repair under local anesthesia alone, without general anesthesia or intravenous sedation, in adolescents and adults. In children, this technique can reduce the need for postoperative opioids. We describe this novel analgesic approach to decrease opioid requirements and minimize perioperative risk.<\/jats:p>","DOI":"10.1597\/08-142.1","type":"journal-article","created":{"date-parts":[[2009,11,10]],"date-time":"2009-11-10T15:19:09Z","timestamp":1257866349000},"page":"629-635","source":"Crossref","is-referenced-by-count":31,"title":["Combined Use of Infraorbital and External Nasal Nerve Blocks for Effective Perioperative Pain Control during and after Cleft Lip Repair"],"prefix":"10.1177","volume":"46","author":[{"given":"Mariah L.","family":"Salloum","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery, Tufts Medical Center, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle R.","family":"Eberlin","sequence":"additional","affiliation":[{"name":"Harvard Plastic Surgery Training Program, Massachusetts General Hospital, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navil","family":"Sethna","sequence":"additional","affiliation":[{"name":"Children's Hospital Boston; Pain Treatment Service, Children's Hospital Boston; and Anesthesiology, Harvard Medical School, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Usama S.","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Otolaryngology, Tufts University School of Medicine; Otology & Laryngology, Harvard Medical School; and Otolaryngology, Boston University School of Medicine, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,11,1]]},"reference":[{"key":"bibr1-08-142.1","unstructured":"AgurA.M.R., LeeM.J. 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