耳颞神经阻滞

一、适应证
单侧耳颞神经痛
该部带状疱疹或疱疹后遗神经痛
二、禁忌证
注射部位感染
患者不能合作
有严重出血倾向者
三、操作方法

患者取坐位或仰卧位,头转向健侧。
体表定位:确定外耳道与下颌关节间,或确定近耳颧弓端后侧(可触及颞动脉轻微搏动)为穿刺点。
用3.5cm长,7号短针刺入0.5cm,用0.5%~1%利多卡因3ml浸润皮下至颧弓根部,这种阻滞方法同时阻滞耳颞神经的小分支,包括耳前神经、颞浅神经和颞神经。
可用神经定位刺激器确定靶神经。

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