Indian Journal of Palliative Care
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 CASE REPORT
Year : 2020  |  Volume : 26  |  Issue : 1  |  Page : 140--141

Ultrasound-guided glossopharyngeal nerve block at pharyngeal wall level in a patient with carcinoma tongue


Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRA IRCH, AIIMS, New Delhi, India

Correspondence Address:
Dr. Vinod Kumar
Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRA IRCH, AIIMS, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJPC.IJPC_132_19

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Glossopharyngeal nerve (GPN) block is used for pain management in patients' head and neck malignancy. The GPN is a mixed nerve containing both motor and sensory fibers. The usual approaches for GPN blocks are usually topical, intraoral, or peristyloid. Topical anesthesia may be difficult in patients with limited mouth opening or when there is inflammation in the area of interest. Intraoral and peristyloid approaches have risk of inadvertent neurovascular injection. The intraoral technique may lead to long-lasting oropharyngeal discomfort. Hence, GPN block is done at the pharyngeal wall level for pain relief.






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