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Clinics and Practice
Volume 6
Issue 2
10.4081/cp.2016.856
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery

by
Michael K. Ritchie
,
Colin A. Wilson
,
Brian W. Grose
,
Pavithra Ranganathan
,
Stephen M. Howell
and
Matthew B. Ellison
*
Department of Anesthesiology, West Virginia University School of Medicine, Morgantown, WV
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(2), 856; https://doi.org/10.4081/cp.2016.856
Submission received: 22 April 2016 / Revised: 22 April 2016 / Accepted: 3 May 2016 / Published: 23 May 2016

Abstract

A greater auricular nerve (GAN) block was used as the sole anesthetic for facial surgery in an 80-year-old male patient with multiple comorbidities which would have made general anesthesia challenging. The GAN provides sensation to the ear, mastoid process, parotid gland, and angle of the mandible. In addition to anesthesia for operating room surgery, the GAN block can be used for outpatient or emergency department procedures without the need for a separate anesthesia team. Although this nerve block has been performed using landmark-based techniques, the ultrasoundguided version offers several potential advantages. These advantages include increased reliability of the nerve block, as well as prevention of inadvertent vascular puncture or blockade of the phrenic nerve, brachial plexus, or deep cervical plexus. The increasing access to ultrasound technology for medical care providers outside the operating room makes this ultrasound guided block an increasingly viable alternative.
Keywords: ear surgery; greater auricular nerve block; ultrasound; cervical plexus; ambulatory surgery ear surgery; greater auricular nerve block; ultrasound; cervical plexus; ambulatory surgery

Share and Cite

MDPI and ACS Style

Ritchie, M.K.; Wilson, C.A.; Grose, B.W.; Ranganathan, P.; Howell, S.M.; Ellison, M.B. Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery. Clin. Pract. 2016, 6, 856. https://doi.org/10.4081/cp.2016.856

AMA Style

Ritchie MK, Wilson CA, Grose BW, Ranganathan P, Howell SM, Ellison MB. Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery. Clinics and Practice. 2016; 6(2):856. https://doi.org/10.4081/cp.2016.856

Chicago/Turabian Style

Ritchie, Michael K., Colin A. Wilson, Brian W. Grose, Pavithra Ranganathan, Stephen M. Howell, and Matthew B. Ellison. 2016. "Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery" Clinics and Practice 6, no. 2: 856. https://doi.org/10.4081/cp.2016.856

APA Style

Ritchie, M. K., Wilson, C. A., Grose, B. W., Ranganathan, P., Howell, S. M., & Ellison, M. B. (2016). Ultrasound-Guided Greater Auricular Nerve Block as Sole Anesthetic for Ear Surgery. Clinics and Practice, 6(2), 856. https://doi.org/10.4081/cp.2016.856

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