Guest guest Posted February 6, 2012 Report Share Posted February 6, 2012 the answer is the buccinator muscle only rerferences: 1-wiki:Standard mandibular nerve block - The nerve is approached from the opposite side of the mouth by angling the syringe from the premolars on the opposite side. After piercing the mucosa and the buccinator muscle between the palatoglossal & palatopharangeal folds until hitting bone (the ascending ramus), the syringe is drawn backwards slightly and brought parallel to the width of the ramus, so that the needle lies lateral to the medial pterygoid at the mandibular foramen 2-http://www.hindawi.com/journals/arp/2011/307423/:The main objective of mandibular blockade anaesthesia is to anaesthetise the posterior branch of the mandibular nerve and its distal branches. The extraosseous course of the mandibular nerve is predominantly within the pterygomandibular space which is a small fascial-lined cleft containing mostly loose areolar tissue (Figure 1) [8]. It is bounded medially and inferiorly by the medial pterygoid muscle and laterally by the medial surface of the mandibular ramus [9]. Posteriorly, parotid glandular tissue curves medially around the back of the mandibular ramus to form a posterior border, while, anteriorly, the buccinator and superior constrictor muscles come together to form a fibrous junction, the pterygomandibular raphe (Figure 1). Most mandibular block procedures involve deposition of local anaesthetic solution within the pterygomandibular space via an intraoral route, namely, by piercing the buccinator muscle anteriorly now if you saw all the reply 4 this Q I have answered a wrong answer depending on too many old feedback .based on that pleaaaaaaaaaase guys who is not sure about the answer 95% I request him/her that dont jump to the reply cause ORE-wise its lethal From: Harpreet Bhela <harpreetbhela@...>" " < > Sent: Monday, 6 February 2012, 11:10Subject: Re: id block it is medial pterygoid muscle ( reference-churchill 3rd edition,page 101) From: keerthi kumar <keerthikumarhs@...> Sent: Monday, 6 February 2012, 7:49Subject: Re: id block buccinator and superior constrictor ore que during id block which muscle is pierced Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2012 Report Share Posted February 6, 2012 From: Areej Abbas <areej.aldura@...> " " < > Sent: Monday, 6 February 2012 9:55 PM Subject: Re: id block/end of the story I completely agree with Areej. Its not good for all of us. It will only create confusions. the answer is the buccinator muscle only rerferences: 1-wiki:Standard mandibular nerve block - The nerve is approached from the opposite side of the mouth by angling the syringe from the premolars on the opposite side. After piercing the mucosa and the buccinator muscle between the palatoglossal & palatopharangeal folds until hitting bone (the ascending ramus), the syringe is drawn backwards slightly and brought parallel to the width of the ramus, so that the needle lies lateral to the medial pterygoid at the mandibular foramen 2-http://www.hindawi.com/journals/arp/2011/307423/:The main objective of mandibular blockade anaesthesia is to anaesthetise the posterior branch of the mandibular nerve and its distal branches. The extraosseous course of the mandibular nerve is predominantly within the pterygomandibular space which is a small fascial-lined cleft containing mostly loose areolar tissue (Figure 1) [8]. It is bounded medially and inferiorly by the medial pterygoid muscle and laterally by the medial surface of the mandibular ramus [9]. Posteriorly, parotid glandular tissue curves medially around the back of the mandibular ramus to form a posterior border, while, anteriorly, the buccinator and superior constrictor muscles come together to form a fibrous junction, the pterygomandibular raphe (Figure 1). Most mandibular block procedures involve deposition of local anaesthetic solution within the pterygomandibular space via an intraoral route, namely, by piercing the buccinator muscle anteriorly now if you saw all the reply 4 this Q I have answered a wrong answer depending on too many old feedback .based on that pleaaaaaaaaaase guys who is not sure about the answer 95% I request him/her that dont jump to the reply cause ORE-wise its lethal From: Harpreet Bhela <harpreetbhela@...>" " < > Sent: Monday, 6 February 2012, 11:10Subject: Re: id block it is medial pterygoid muscle ( reference-churchill 3rd edition,page 101) From: keerthi kumar <keerthikumarhs@...> Sent: Monday, 6 February 2012, 7:49Subject: Re: id block buccinator and superior constrictor ore que during id block which muscle is pierced Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 6, 2012 Report Share Posted February 6, 2012 really many thanks areej From: Areej Abbas <areej.aldura@...> " " < > Sent: Monday, February 6, 2012 10:55 PM Subject: Re: id block/end of the story the answer is the buccinator muscle only rerferences: 1-wiki:Standard mandibular nerve block - The nerve is approached from the opposite side of the mouth by angling the syringe from the premolars on the opposite side. After piercing the mucosa and the buccinator muscle between the palatoglossal & palatopharangeal folds until hitting bone (the ascending ramus), the syringe is drawn backwards slightly and brought parallel to the width of the ramus, so that the needle lies lateral to the medial pterygoid at the mandibular foramen 2-http://www.hindawi.com/journals/arp/2011/307423/:The main objective of mandibular blockade anaesthesia is to anaesthetise the posterior branch of the mandibular nerve and its distal branches. The extraosseous course of the mandibular nerve is predominantly within the pterygomandibular space which is a small fascial-lined cleft containing mostly loose areolar tissue (Figure 1) [8]. It is bounded medially and inferiorly by the medial pterygoid muscle and laterally by the medial surface of the mandibular ramus [9]. Posteriorly, parotid glandular tissue curves medially around the back of the mandibular ramus to form a posterior border, while, anteriorly, the buccinator and superior constrictor muscles come together to form a fibrous junction, the pterygomandibular raphe (Figure 1). Most mandibular block procedures involve deposition of local anaesthetic solution within the pterygomandibular space via an intraoral route, namely, by piercing the buccinator muscle anteriorly now if you saw all the reply 4 this Q I have answered a wrong answer depending on too many old feedback .based on that pleaaaaaaaaaase guys who is not sure about the answer 95% I request him/her that dont jump to the reply cause ORE-wise its lethal From: Harpreet Bhela <harpreetbhela@...>" " < > Sent: Monday, 6 February 2012, 11:10Subject: Re: id block it is medial pterygoid muscle ( reference-churchill 3rd edition,page 101) From: keerthi kumar <keerthikumarhs@...> Sent: Monday, 6 February 2012, 7:49Subject: Re: id block buccinator and superior constrictor ore que during id block which muscle is pierced Quote Link to comment Share on other sites More sharing options...
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