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Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 21-26

Experience with the use of local anesthesia in maxillofacial surgery

1 Department of Oral and Maxillofacial Surgery, Bayero University, Kano, and Visiting Consultant for Maxillofacial Surgery, Murtala Mohammed Specialist Hospital, Nigeria
2 Department of Dental Surgery, University of Calabar, Calabar, and Formerly Visiting Consultant for Maxillofacial Surgery, Murtala Mohammed Specialist Hospital, Kano, Nigeria
3 Department of Oral and Maxillofacial Surgery, Ahmadu Bello University, Zaria, Nigeria
4 Department of Dental and Maxillofacial Surgery, University of Jos, Jos, Nigeria
5 Federal Medical Center, Nguru, Yobe, Nigeria

Correspondence Address:
Dr. Kelvin Uchenna Omeje
Department of Oral and Maxillofacial Surgery, Bayero University, Kano
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_20_18

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Background: Recent advances in anesthesia and the need to manage patients' perioperative anxiety along with escalating healthcare costs have resulted in an increasing number of surgical procedures being performed under local anesthesia (LA) especially as day-case surgeries worldwide. To report our experience with performing oral and maxillofacial surgeries under LA highlighting the advantages and limitations. Patients and Methods: This study was a retrospective analysis of patients who underwent maxillofacial surgical procedures under LA at Murtala Mohammed Specialist Hospital, Kano, Nigeria, over a 2-year period (January 2014–December 2015). Information collated included the patients' demographics, clinical features, diagnosis, surgical operations performed, duration of hospitalization, and complications recorded. The data obtained were analyzed using Statistical Package for Social Sciences version 15.0. Results: A total of 92 patients comprising 58 males and 34 females with varying maxillofacial conditions were operated during the period of the study. Their ages ranged from 12 to 60 years with a mean age of 32 ± 4.4 years. The complications recorded in the patients included three cases of malocclusion (3.2%), one case of wound dehiscence (1.1%), paraesthesia of the lower lip in one patient (1.1%), and cardiac arrest in one patient (1.1%). Conclusion: Maxillofacial surgery under LA is a cost-effective approach to surgery with good outcomes in this environment.

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