Nerve block: mental - Revision history

Danbot: Danbot moved page Nerve Block: Mental to Nerve block: mental without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

2026-03-22T05:33:12Z

Danbot moved page Nerve Block: Mental to Nerve block: mental without leaving a redirect: Naming convention: first word capitalized, subsequent words lowercase

← Older revision	Revision as of 05:33, 22 March 2026
(No difference)

Rossdonaldson1: /* Video */

2024-04-17T18:48:01Z

Video

← Older revision		Revision as of 18:48, 17 April 2024
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	*[[Nerve blocks (main)]]		*[[Nerve blocks (main)]]
	*[[Local anesthetic systemic toxicity]]		*[[Local anesthetic systemic toxicity]]

	~~==Video==~~
	~~{{#widget:YouTube\|id=hPALXAq9pTo}}~~

	==References==		==References==

Spenceemmett: /* Procedure */

2020-11-16T22:19:42Z

Procedure

← Older revision		Revision as of 22:19, 16 November 2020
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	*Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)		*Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)
	*For lacerations over the midline, block the mental nerve on each side of the face to anesthetize crossover fibers		*For lacerations over the midline, block the mental nerve on each side of the face to anesthetize crossover fibers
			*Block may also be performed extraorally by palpating and approaching the mandible slightly laterally to make contact just outside the mental foramen

	==Complications==		==Complications==

Lisayee25 at 04:03, 4 August 2018

2018-08-04T04:03:21Z

← Older revision		Revision as of 04:03, 4 August 2018
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	*[[Nerve blocks (main)]]		*[[Nerve blocks (main)]]
	*[[Local anesthetic systemic toxicity]]		*[[Local anesthetic systemic toxicity]]

			==Video==
			{{#widget:YouTube\|id=hPALXAq9pTo}}

	==References==		==References==

Ted Fan: ref + bilateral

2017-06-10T20:33:00Z

ref + bilateral

← Older revision		Revision as of 20:33, 10 June 2017
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	*Local anesthesic		*Local anesthesic
	*Chloraprep		*Chloraprep
	*Syringe with blunt fill needle and 27ga needle		*Syringe with blunt fill needle and 27ga (or 25ga) needle

	==Procedure==		==Procedure==
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	*Insert the needle along the lower gum into the buccal fold between the premolar teeth without placing the needle directly into the foramen		*Insert the needle along the lower gum into the buccal fold between the premolar teeth without placing the needle directly into the foramen
	*Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)		*Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)
			*For lacerations over the midline, block the mental nerve on each side of the face to anesthetize crossover fibers

	==Complications==		==Complications==
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	==References==		==References==
	<references/>		<references/>
			*Amsterdam J and Kilgore K. Regional Anesthesia of the Head and Neck. In: Roberts and Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier; 2014

	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:ENT]]		[[Category:ENT]]

Zipdoc at 11:31, 3 January 2017

2017-01-03T11:31:32Z

← Older revision		Revision as of 11:31, 3 January 2017
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	*Pain		*Pain
	*Needle fracture		*Needle fracture
	*~~Neurapraxia~~		*Neuropraxia

	==See Also==		==See Also==
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	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:ENT]]		[[Category:ENT]]
	~~[[Category:Ultrasound]]~~

Zipdoc at 11:29, 3 January 2017

2017-01-03T11:29:16Z

← Older revision		Revision as of 11:29, 3 January 2017
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	[[Category:Procedures]]		[[Category:Procedures]]
	[[Category:ENT]]		[[Category:ENT]]
			[[Category:Ultrasound]]

Mholtz at 00:24, 25 December 2016

2016-12-25T00:24:36Z

← Older revision		Revision as of 00:24, 25 December 2016
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	==Equipment Needed==		==Equipment Needed==
	~~#topical anesthesia~~		*Local anesthesic
	~~##viscous lidocaine~~		*Chloraprep
	~~##LET~~		*Syringe with blunt fill needle and 27ga needle
	~~#local anesthesia~~
	~~##lidocaine 1% (lasts 30-60 minutes or longer if given~~ with ~~epinephrine, rapid onset)~~
	~~##Mepivacaine 3% (lasts 45-90 minutes, slower onset)~~
	~~##Bupivacaine 0.5% (lasts 2-4 hours, slowest in onset)~~
	~~#18 gauge~~ needle ~~to draw up anesthetic~~
	~~#25 or 27 gauge~~ needle
	~~#6 cc syringe~~
	~~#gauze pads~~
	~~#good light source~~

	==Procedure==		==Procedure==
	#Place patient in semi-recumbent position		*Obtain informed consent
	~~#apply topical anesthesia~~		*Place patient in semi-recumbent position
	~~#draw~~ up 2-5cc of anesthetic into syringe		*Draw up 2-5cc of anesthetic into syringe
	~~#locate~~ the mental foramen by retracting the cheek laterally and palpating between the 2 lower premolar teeth		*Locate the mental foramen by retracting the cheek laterally and palpating between the 2 lower premolar teeth
	~~#insert~~ the needle along the lower gum into the buccal fold between the premolar teeth without placing the needle directly into the foramen		*Insert the needle along the lower gum into the buccal fold between the premolar teeth without placing the needle directly into the foramen
	~~#aspirate~~; if no blood inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)		*Aspirate; if no blood, inject a few cc's of anesthetic slowly (avoid injecting directly into the foramen as to prevent damage to the neurovascular bundle)

	==Complications==		==Complications==

Mholtz at 00:22, 25 December 2016

2016-12-25T00:22:20Z

← Older revision		Revision as of 00:22, 25 December 2016
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	==Background==		==Background==
	*Mental nerve innervates the skin of the chin and mucous membranes of the lower lip (from lip anteriorly to alveolar process and to the mid body of the mandible) - by blocking this nerve you can have adequate anesthesia for complicated laceration closures		*Mental nerve innervates the skin of the chin and mucous membranes of the lower lip (from lip anteriorly to alveolar process and to the mid body of the mandible) - by blocking this nerve you can have adequate anesthesia for complicated laceration closures
	*NOTE: this block does NOT anesthetize the teeth or mandibular soft tissue (see [[Nerve Block:Inferior Alveolar]]		*NOTE: this block does NOT anesthetize the teeth or mandibular soft tissue (see [[Nerve Block: Inferior Alveolar]])

	==Indications==		==Indications==
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	==See Also==		==See Also==
	*[[Nerve ~~Blocks~~ (~~Main~~)]]		*[[Nerve blocks (main)]]
	*[[Local ~~Anesthetic Systemic Toxicity (LAST)~~]]		*[[Local anesthetic systemic toxicity]]

	==References==		==References==

Rossdonaldson1: Text replacement - "epi," to "epinephrine,"

2016-08-03T05:17:11Z

Text replacement - "epi," to "epinephrine,"

← Older revision		Revision as of 05:17, 3 August 2016
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	##LET		##LET
	#local anesthesia		#local anesthesia
	##lidocaine 1% (lasts 30-60 minutes or longer if given with ~~epi~~, rapid onset)		##lidocaine 1% (lasts 30-60 minutes or longer if given with epinephrine, rapid onset)
	##Mepivacaine 3% (lasts 45-90 minutes, slower onset)		##Mepivacaine 3% (lasts 45-90 minutes, slower onset)
	##Bupivacaine 0.5% (lasts 2-4 hours, slowest in onset)		##Bupivacaine 0.5% (lasts 2-4 hours, slowest in onset)