{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T01:10:13Z","timestamp":1742865013571,"version":"3.40.2"},"reference-count":23,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>This case series describes the ability of the temporo-masseteric nerve block (TMNB) to expeditiously relieve acute postextraction myogenous pain of masseteric or temporalis origin. In addition, the TMNB injection technique is also briefly reviewed. Briefly, 4 patients with no baseline temporalis or masseter muscle pain developed severe masseteric\/temporalis pain during the first postoperative week on the side(s) of their dental extraction(s). The pain was accompanied by trismus. Both the pain and limitation in mouth opening were relieved by the TMNB injection, and symptom alleviation persisted beyond the brief duration of action of the administered local anesthetic. In conclusion, the TMNB injection can potentially serve as a valuable nonopioid adjunct to manage acute postextraction pain of masseteric or temporalis origin. It may be important to delineate acute myogenous postextraction pain from surgical site pain to optimize postoperative pain management and best alleviate trismus. Systematic validation of the TMNB\u2019s utility in postextraction pain management is warranted.<\/jats:p>","DOI":"10.2344\/24-0001","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:02:28Z","timestamp":1742860948000},"page":"37-42","source":"Crossref","is-referenced-by-count":0,"title":["The Temporo-Masseteric Nerve Block (TMNB) for Alleviating Acute Postextraction Masticatory Myalgia: A Case Series"],"prefix":"10.2344","volume":"72","author":[{"given":"Gayathri","family":"Subramanian","sequence":"first","affiliation":[{"name":"Associate Professor, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel Y. P.","family":"Quek","sequence":"additional","affiliation":[{"name":"Professor, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"issue":"3","key":"i1878-7177-72-1-37-b01","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"e65","article-title":"The twin block: a simple technique to block both the masseteric and the anterior deep temporal nerves with one anesthetic injection","volume":"118","author":"Quek S,","year":"2014","unstructured":"Quek S,\nYoung A,\nSubramanian G. The twin block: a simple technique to block both the masseteric and the anterior deep temporal nerves with one anesthetic injection. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(3):e65\u2013e67."},{"issue":"2","key":"i1878-7177-72-1-37-b02","series-title":"Anesth Prog","first-page":"103","article-title":"Twin block in myogenous orofacial pain: applied anatomy, technique update, and safety","volume":"67","author":"Quek SYP,","year":"2020","unstructured":"Quek SYP,\nGomes-Zagury J,\nSubramanian G. Twin block in myogenous orofacial pain: applied anatomy, technique update, and safety. Anesth Prog. 2020;67(2):103\u2013106."},{"issue":"3","key":"i1878-7177-72-1-37-b03","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol","first-page":"222","article-title":"The effect of the twin block compared with trigger point injections in patients with masticatory myofascial pain: a pilot study","volume":"129","author":"Ananthan S,","year":"2020","unstructured":"Ananthan S,\nKanti V,\nZagury JG,\nQuek SYP,\nBenoliel R. The effect of the twin block compared with trigger point injections in patients with masticatory myofascial pain: a pilot study. Oral Surg Oral Med Oral Pathol Oral Radiol. 2020;129(3):222\u2013228."},{"key":"i1878-7177-72-1-37-b04","series-title":"Quintessence Int","first-page":"725","article-title":"Efficacy of the twin block, a peripheral nerve block for the management of chronic masticatory myofascial pain: a case series","author":"Kanti V,","year":"2017","unstructured":"Kanti V,\nAnanthan S,\nSubramanian G,\nQuek SYP. Efficacy of the twin block, a peripheral nerve block for the management of chronic masticatory myofascial pain: a case series. Quintessence Int. 2017:725\u2013729."},{"key":"i1878-7177-72-1-37-b05","series-title":"Muscle Pain: Understanding the Mechanisms","first-page":"49","article-title":"Peripheral mechanisms of muscle pain: response behavior of muscle nociceptors and factors eliciting local muscle pain","author":"Mense S.","year":"2010","unstructured":"Mense S. Peripheral mechanisms of muscle pain: response behavior of muscle nociceptors and factors eliciting local muscle pain. In: \nMense S,\nGerwin RD, eds. Muscle Pain: Understanding the Mechanisms. Springer; 2010:49\u2013103."},{"issue":"9","key":"i1878-7177-72-1-37-b06","series-title":"Arch Oral Biol","first-page":"621","article-title":"Provocation of delayed-onset muscle soreness in the human jaw-closing muscles","volume":"55","author":"Turker KS,","year":"2010","unstructured":"Turker KS,\nKoutris M,\nSumer NC, et al. Provocation of delayed-onset muscle soreness in the human jaw-closing muscles. Arch Oral Biol. 2010;55(9):621\u2013626."},{"issue":"2","key":"i1878-7177-72-1-37-b07","series-title":"HSS J","first-page":"136","article-title":"Corticosteroid and anesthetic injections for muscle strains and ligament sprains in the NFL","volume":"10","author":"Drakos M,","year":"2014","unstructured":"Drakos M,\nBirmingham P,\nDelos D, et al. Corticosteroid and anesthetic injections for muscle strains and ligament sprains in the NFL. HSS J. 2014;10(2):136\u2013142."},{"issue":"6","key":"i1878-7177-72-1-37-b08","series-title":"J Clin Diagn Res","first-page":"ZC09","article-title":"Grading of extraction and its relationship with post-operative pain and trismus, along with proposed grading for trismus","volume":"8","author":"Pathak S,","year":"2014","unstructured":"Pathak S,\nVashisth S,\nMishra S,\nSingh SP,\nSharma S. Grading of extraction and its relationship with post-operative pain and trismus, along with proposed grading for trismus. J Clin Diagn Res. 2014;8(6):ZC09\u2013ZC11."},{"issue":"2","key":"i1878-7177-72-1-37-b09","series-title":"Anesthesiology","first-page":"283","article-title":"Clinical effectiveness of liposomal bupivacaine administered by infiltration or peripheral nerve block to treat postoperative pain","volume":"134","author":"Ilfeld BM,","year":"2021","unstructured":"Ilfeld BM,\nEisenach JC,\nGabriel RA. Clinical effectiveness of liposomal bupivacaine administered by infiltration or peripheral nerve block to treat postoperative pain. Anesthesiology. 2021;134(2):283\u2013344."},{"issue":"3","key":"i1878-7177-72-1-37-b10","series-title":"Anesth Prog","first-page":"127","article-title":"Liposomal bupivacaine use in third molar impaction surgery: INNOVATE study","volume":"64","author":"Lieblich SE,","year":"2017","unstructured":"Lieblich SE,\nDanesi H. Liposomal bupivacaine use in third molar impaction surgery: INNOVATE study. Anesth Prog. 2017;64(3):127\u2013135."},{"issue":"5","key":"i1878-7177-72-1-37-b11","series-title":"Int J Oral Maxillofac Implants","first-page":"1155","article-title":"A prospective, randomized, open-label study comparing an opioid-sparing postsurgical pain management protocol with and without liposomal bupivacaine for full-arch implant surgery","volume":"33","author":"Iero PT,","year":"2018","unstructured":"Iero PT,\nMulherin DR,\nJensen O, et al. A prospective, randomized, open-label study comparing an opioid-sparing postsurgical pain management protocol with and without liposomal bupivacaine for full-arch implant surgery. Int J Oral Maxillofac Implants. 2018;33(5):1155\u20131164."},{"issue":"10","key":"i1878-7177-72-1-37-b12","series-title":"Qual Life Res","first-page":"2477","article-title":"Third molar removal and its impact on quality of life: systematic review and meta-analysis","volume":"27","author":"Duarte-Rodrigues L,","year":"2018","unstructured":"Duarte-Rodrigues L,\nMiranda EFP,\nSouza TO, et al. Third molar removal and its impact on quality of life: systematic review and meta-analysis. Qual Life Res. 2018;27(10):2477\u20132489."},{"issue":"3","key":"i1878-7177-72-1-37-b13","series-title":"J Stomatol Oral Maxillofac Surg","first-page":"297","article-title":"Surgical experience and patient morbidity after third molar removal","volume":"123","author":"Vranckx M,","year":"2022","unstructured":"Vranckx M,\nFieuws S,\nJacobs R,\nPolitis C. Surgical experience and patient morbidity after third molar removal. 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Pain Ther. 2019;8(1):121\u2013132."},{"issue":"3","key":"i1878-7177-72-1-37-b18","series-title":"Gen Dent","first-page":"201","article-title":"Dental therapeutic practice patterns in the U.S. II. Analgesics, corticosteroids, and antibiotics","volume":"54","author":"Moore PA,","year":"2006","unstructured":"Moore PA,\nNahouraii HS,\nZovko JG,\nWisniewski SR. Dental therapeutic practice patterns in the U.S. II. Analgesics, corticosteroids, and antibiotics. Gen Dent. 2006;54(3):201\u2013207; quiz 08, 21\u201322."},{"issue":"9","key":"i1878-7177-72-1-37-b19","series-title":"J Oral Maxillofac Surg","first-page":"1500","article-title":"Narcotic prescribing habits and other methods of pain control by oral and maxillofacial surgeons after impacted third molar removal","volume":"71","author":"Mutlu I,","year":"2013","unstructured":"Mutlu I,\nAbubaker AO,\nLaskin DM. 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Am J Orthod Dentofacial Orthop. 2001;119(1):16A\u201318A."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/72\/1\/article-p37.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/72\/1\/article-p37.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/72\/1\/article-p37.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:05:05Z","timestamp":1742861105000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/72\/1\/article-p37.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":23,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.2344\/24-0001","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}