{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:38:05Z","timestamp":1762508285773},"reference-count":16,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020]]},"abstract":"<jats:p>Head and neck reconstructive surgery involving tissue flaps is often complex requiring the development of an individualized anesthetic plan. The following case report describes the anesthetic management of an 87-year-old man considered at high risk for postoperative delirium due to advanced age and blindness undergoing general anesthesia for resection of squamous cell carcinoma of the right side of the nose and reconstructive surgery with a scalping forehead flap. Ultrasound-guided local anesthetic maxillary and supraorbital nerve blocks were successfully used perioperatively to reduce the need for alternative analgesics associated with higher risks of complications such as postoperative nausea, vomiting, and delirium.<\/jats:p>","DOI":"10.2344\/anpr-67-02-04","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T20:43:58Z","timestamp":1601412238000},"page":"164-169","source":"Crossref","is-referenced-by-count":5,"title":["Ultrasound-Guided Local Anesthetic Nerve Blocks in a Forehead Flap Reconstructive Maxillofacial Procedure"],"prefix":"10.2344","volume":"67","author":[{"given":"Yuki","family":"Kojima","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiichi","family":"Furuse","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Murouchi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Hirabayashi","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoi","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuhiro","family":"Oka","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Asahi General Hospital, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"key":"i0003-3006-67-3-164-b01","series-title":"Acta Stomatol Croat","first-page":"336","article-title":"New findings on local tramadol use in oral surgery","volume":"51","author":"\u0110ani\u0107","year":"2017","unstructured":"\u0110ani\u0107\n              P,\n            \n            \n              Salari\u0107\n              I,\n            \n            \n              Macan\n              D.\n            \n          \n          New findings on local tramadol use in oral surgery.\n\t\t\t\t\tActa Stomatol Croat.\n\t\t\t\t\t2017;51:336\u2013344."},{"key":"i0003-3006-67-3-164-b02","series-title":"Oral Maxillofac Surg Clin North Am","first-page":"131","article-title":"Preoperative preparation and planning of the oral and maxillofacial surgery patient","volume":"29","author":"Bennett","year":"2017","unstructured":"Bennett\n              JD.\n            \n          \n          Preoperative preparation and planning of the oral and maxillofacial surgery patient.\n\t\t\t\t\tOral Maxillofac Surg Clin North 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Postoperative delirium in older adults: best practice statement from the American Geriatrics Society","volume":"220","author":"Inouye","year":"2015","unstructured":"Inouye\n              SK,\n            \n            \n              Robinson\n              T,\n            \n            \n              Blaum\n              C,\n            \n            et al;\n          \n          American Geriatrics Society Expert Panel on Postoperative Delirium in Older Adults. 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postoperative nausea and vomiting","volume":"109","author":"Apfel","year":"2012","unstructured":"Apfel\n              CC,\n            \n            \n              Heidrich\n              FM,\n            \n            \n              Jukar-Rao\n              S,\n            \n            et al.\n\t\t\t\t\t\n          Evidence-based analysis of risk factors for postoperative nausea and vomiting.\n\t\t\t\t\tBr J Anaesth.\n\t\t\t\t\t2012;109:742\u2013753."},{"key":"i0003-3006-67-3-164-b12","series-title":"Anaesthesia","first-page":"443","article-title":"A survey of postoperative nausea and vomiting","volume":"52","author":"Koivuranta","year":"1997","unstructured":"Koivuranta\n              M,\n            \n            \n              L\u00e4\u00e4r\u00e4\n              E,\n            \n            \n              Sn\u00e5re\n              L,\n            \n            \n              Alahuhta\n              S.\n            \n          \n          A survey of postoperative nausea and 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    Ultrasound guidance characteristics and efficiency of suprazygomatic maxillary nerve blocks in infants: a descriptive prospective study.\n\t\t\t\t\tPaediatr Anaesth.\n\t\t\t\t\t2012;22:841\u2013846."},{"key":"i0003-3006-67-3-164-b16","series-title":"J Clin Anesth","first-page":"39","article-title":"Ultrasound-guided inferior alveolar nerve block for postoperative analgesia after mandibular sequestrectomy: a single-center retrospective study","volume":"60","author":"Kojima","year":"2019","unstructured":"Kojima\n              Y,\n            \n            \n              Murouchi\n              T,\n            \n            \n              Akiba\n              M,\n            \n            \n              Oka\n              T.\n            \n          \n          Ultrasound-guided inferior alveolar nerve block for postoperative analgesia after mandibular sequestrectomy: a single-center retrospective study.\n\t\t\t\t\tJ Clin Anesth.\n\t\t\t\t\t2019;60:39\u201340."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/67\/3\/article-p164.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/67\/3\/164\/2598098\/i0003-3006-67-3-164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/67\/3\/article-p164.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/67\/3\/article-p164.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:43:06Z","timestamp":1728304986000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/67\/3\/article-p164.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":16,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.2344\/anpr-67-02-04","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"type":"electronic","value":"1878-7177"},{"type":"print","value":"0003-3006"}],"subject":[],"published":{"date-parts":[[2020]]}}}