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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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PEARLS

As with maxillary nerve block, anesthesiologists should develop a thorough understanding of the peripterygoid anatomy before carrying out this block. Needle movements with the mandibular block involve fewer “planes” than with the maxillary block, as the needle is moved primarily in the horizontal plane once it has made contact with the pterygoid plate. Therefore, in some ways this block is less complex than the maxillary block. Also, because the mandibular nerve is more distant from the orbital structures, one does not have to be as worried about using neurolytic solutions with this block.

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