Facial Nerve Blocks: Technique
We recommend lidocaine 1% or bupivicaine 0.25% with a 24-47 gauge needle. Prior to the injection, application of topical lidocaine to the area can provide additional benefit and reduction of injection discomfort. Only 1-2 mL of anesthetic are required for efficacy.
Usual injection technique should be applied for these regional nerve blocks including cleaning the skin prior to skin puncture and correct needle placement verification with aspiration prior to injection. After injection, allow 5-10 minutes for medication to reach efficacy.
Regional Facial Nerve Block: Overview and Technique
Drawings by Dr. Anisha Malhotra
- Supraorbital (V1)
- Infraorbital (V2)
- Mental (V3)
- Auricular (Auriculotemporal and greater auricular nerves)
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