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Development of continuos Maxilla and Mandibular block and these application of oral surgery patient and oro-facial pain patient

Research Project

Project/Area Number 08672291
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Surgical dentistry
Research InstitutionTOKYO MEDICAL AND DENTAL UNIVERSITY

Principal Investigator

KOHASE Hikaru  TOKYO MEDICAL AND DENTAL UNIVERSITY, 歯学部, 助手 (20251548)

Project Period (FY) 1996 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥2,200,000 (Direct Cost: ¥2,200,000)
Fiscal Year 1997: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1996: ¥1,300,000 (Direct Cost: ¥1,300,000)
KeywordsMaxilla nerve / Mandibular nerve / Conduction Anesthesia / Nerve Block / Catheter / Continuos / 伝達麻痺
Research Abstract

The aim of this study was to develop the continuos maxilla and mandibular nerve block and to apply the methods to patient that performed oral surgery or to oro-facial pain patients.
We developed three kinds of catheter kits of continuos trigeminal nerve block which were consisted of catheter, catheter introducer, connective adapter for administration of drug. The diameter of each catheter was 28G (Type A), 26G (Type B) and 24G (Type C).
We applied the continuos maxilla or mandibular nerve block to the patient (16cases total ; 11cases of mandibular block, 5 cases of maxilla block) performed oral surgery in our hospital. The efficacy of the block was seen in 14 cases the points of less of sensation of trigeminal lesion in local anesthetics administered side. In two cases the sensations of trigeminal lesion in administered side were remained even after given local anesthetics, due to wrong catheter placement.
The catheters were dwelled during operation and post operative period for purpose of post operative pain relief. In all of effective cases, postoperative pain relief were obtained by using local anesthetics through the catheter.
One case who suffered from cancer pain in mandibular lesion were applied this catheter and maintained pain relief for 7days by local anesthetic administration through the catheter, and then finally permanent mandibular nerve block were performed by given pure alcohol through the catheter. The type C catheter appeared to be preferable to use since it was easy to insert and to administer the drug through the catheter.
Long period of dwelling the catheter about 2 weeks was possible, and no complication was not occurred.
It was concluded that the method of continuos maxilla and mandibullar block using the original catheter kit was useful and effective during operative period and postoperative pain relief and intractable oro-facial pain.

Report

(3 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report
  • Research Products

    (7 results)

All Other

All Publications (7 results)

  • [Publications] 小長谷 光: "カテーテル留置型下顎神経伝達麻酔法の開発" 口腔病学会雑誌. 64(3). 455 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 小長谷 光, 菊池 慶子, 杉本 和也, 深山 治久, 海野 雅浩: "持続的下顎神経伝達麻酔法の試み" 日本歯科麻酔学会雑誌. 24(4). 699 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hikaru Kohase, Masahiro Umino: "Development of mandibular conduction anesthesia with catheter dwelling" The Journal of the stomatological Society, Japan. 64 (3). 455 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hikaru Kohase, Keiko Kikuchi, Kazuya Sugimoto, Haruhisa Fukayama, Masahiro Umino: "Attempt of conituos mandibular conduction anesthesia." The Journal of Japanese dental society of anesthesiology. 24 (4). 699 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 小長谷光, 海野雅浩: "カテーテル留置型下顎神経伝達麻痺法の開発" 口腔病学会雑誌. 64(3). 455 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 小長谷光, 菊池慶子, 杉本和也, 深山治久, 海野雅浩: "持続的下顎神経伝達麻痺法の試み" 日本歯科麻酔学会雑誌. 24(4). 699 (1996)

    • Related Report
      1997 Annual Research Report
  • [Publications] 小長谷光、菊池慶子、杉本和也、深山活久、神野成治、海野和彦: "持続下顎神経伝達麻酔法の試み" 日本歯科麻酔学会雑誌. 24・4. 699 (1996)

    • Related Report
      1996 Annual Research Report

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Published: 1996-04-01   Modified: 2016-04-21  

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