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NERVE BLOCK IN
EQUINE HEAD
NERVE BLOCK
• Injecting local anesthetic solution
into immediate vicinity of
nerve.the drug diffuses into nerve
trunk and anesthesize the area
innervated by preventing any
further conduction of impulses
along nerve .
HORSE SKULL FORAMEN
• Supraorbital foramen
• Maxillary foramen
• Infra orbital foramen
• Infra orbital canal
• Mandibular foramen
• Mandibular canal
• Mental foramen
NERVES
• Trigiminal nerve
• Opthalmic nerve
• Supraorbital nerve
• Maxillary nerve
• Infra orbital nerve
• Mandibular nerve
• Mandibular alveolar nerve
• Mental nerve
• Auriculopalpebral nerve
ANESTHESIA OF
EYE
•Cornea
•Eyelid
•Eye globe
CORNEA
• Topical application of local
anesthetic solution
• 0.5% proparacaine or 1% solution
of amethocaine , a potent longer
acting opthalmic preparation
AURICULOPALBEBRAL
BLOCK• Motor nerve
• Branch of facial nerve (7 cranial nerve)
• When blocked prevent closure of eye , keep the eye opened
but not desensitized it
• Indication
• (akinesia of eye)
• Keep the eye lid open to examine the eye ,remove foreign
body or 3rd eye lid removal
• Site
• At the level of base of ear , at the endof zygomaticarch(dorsal
aspect)
Supraorbital
block• Sensory nerve
• Trigeminal nerve ,supra orbital nerve is terminal branch of
opthalmic nerve
• Supply upperlid and forehead skin
• Indication
• Upper eyelid surgery
• Frontal sinus trephining
• Site
• Around supra orbital foramen at supra orbital process
• Hold the border of supra orbital process by thumb and
middle finger and search for supra orbital foramen
• by index
Anesthetize the eye globe
• Retrobulbar nerve block
• Sensory nerve
• If blocked lead to blockage of optic nerve ,
occulomotor N, trochlear and abducens nerve
block
• Indication
• extirpation/exenteration of eye ball
• Techniques of block
• 1. 4 point block
• 2. peterson eye block
• Supra orbital fossa block(horse only)
4 point block
• At medial and lateral canthus of
eye + dorsally and ventrallyof eye
ball between the globe and bony
orbit under careful digital
palpation
Peterson eye block
• Long spinal needle passed over
the zygomatic arch in a
ventromedial direction until the
medial wall of bony orbit is
encountered
Supra orbital fossa block
Anesthesia of:
•Nose
•Upper lip
•Upper incisor and
canine
Infra orbital nerve block
Sensory nerve
Trigeminal nerves(5cr.N),, Maxillary nerve( enter maxillary foramen and
run through infraorbital canal) come out of the canal through
infraorbital foramen as infra orbitl nerve
Site of block and indication
1. Around infra orbital foamen
Nose, upper lip, incisor teethand adjacent gum
2. Inside infra orbital foramen
Canines up to 1st premolar tooth and adjacent gum
How to locate the infraorbital foramen
Imaginary line from nasoincisive notch and end of facial crest half the
way in this line and 2cm upward the infra orbital foramen locate after
pushing up the levator labii maxillaris muscle
Anesthesia of:
•Chin
•Lower lip
•Lower incisor and
canine
Mental nerve
• Sensory nerve
• Trigeminal nerve
• Mandibular nerve
• Enter mandibular canal through mandibular foramen and run in the canal as
mandibularalveolar nerve out from the canal through mental foramen as mental
nerve
• Siteof blocking and indication
• 1. around mental foramen
Desensitize lower lip, chin, lower incisor and adjacent gum
2. Inside mental foramen
3. Lower canine upto 1st premolar and adjacent gum
the mental foramen located :
Below oral commissure ormiddle of interdental space
after pushing the depressor labii inferioris muscle
Anesthesia of:
molar teeth
Maxillary nerve
• Sensory nerve
• Branches of trigeminal nerve(5 cr N) enter infra
orbital canal through mxillary foramen in
ptrygopalatine fossa
• Site
• Under the zygomatic process of eye
• Indication
• Desensitize upper molar, canine and incisor teeth
and adjacent gum + lips and nose
• Skin above maxillarysinus specially rostral(traphining)
Mandibular nerve
• Mixed nerve
• Branch of trigiminal nerve
• Site and indication
• At the level of mandibular foramen :
• At medial aspect of mandibe
• To locate it draw imaginary line parallel to occlusion surface of cheek
teeth and other from lateral canthus of the till mandibular angle
• Insert needle:
• A-obliquely or
• B- at extension of line taken from lateral canthus of eye till mandibular
angle( need longer needle)
• Will block entire lower jaw

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NERVE BLOCK IN EQUINE HEAD

  • 2.
  • 3. NERVE BLOCK • Injecting local anesthetic solution into immediate vicinity of nerve.the drug diffuses into nerve trunk and anesthesize the area innervated by preventing any further conduction of impulses along nerve .
  • 4. HORSE SKULL FORAMEN • Supraorbital foramen • Maxillary foramen • Infra orbital foramen • Infra orbital canal • Mandibular foramen • Mandibular canal • Mental foramen
  • 5.
  • 6. NERVES • Trigiminal nerve • Opthalmic nerve • Supraorbital nerve • Maxillary nerve • Infra orbital nerve • Mandibular nerve • Mandibular alveolar nerve • Mental nerve • Auriculopalpebral nerve
  • 7.
  • 9. CORNEA • Topical application of local anesthetic solution • 0.5% proparacaine or 1% solution of amethocaine , a potent longer acting opthalmic preparation
  • 10.
  • 11.
  • 12.
  • 13. AURICULOPALBEBRAL BLOCK• Motor nerve • Branch of facial nerve (7 cranial nerve) • When blocked prevent closure of eye , keep the eye opened but not desensitized it • Indication • (akinesia of eye) • Keep the eye lid open to examine the eye ,remove foreign body or 3rd eye lid removal • Site • At the level of base of ear , at the endof zygomaticarch(dorsal aspect)
  • 14.
  • 15. Supraorbital block• Sensory nerve • Trigeminal nerve ,supra orbital nerve is terminal branch of opthalmic nerve • Supply upperlid and forehead skin • Indication • Upper eyelid surgery • Frontal sinus trephining • Site • Around supra orbital foramen at supra orbital process • Hold the border of supra orbital process by thumb and middle finger and search for supra orbital foramen • by index
  • 16.
  • 17.
  • 18. Anesthetize the eye globe • Retrobulbar nerve block • Sensory nerve • If blocked lead to blockage of optic nerve , occulomotor N, trochlear and abducens nerve block • Indication • extirpation/exenteration of eye ball • Techniques of block • 1. 4 point block • 2. peterson eye block • Supra orbital fossa block(horse only)
  • 19. 4 point block • At medial and lateral canthus of eye + dorsally and ventrallyof eye ball between the globe and bony orbit under careful digital palpation
  • 20.
  • 21. Peterson eye block • Long spinal needle passed over the zygomatic arch in a ventromedial direction until the medial wall of bony orbit is encountered
  • 22.
  • 25. Infra orbital nerve block Sensory nerve Trigeminal nerves(5cr.N),, Maxillary nerve( enter maxillary foramen and run through infraorbital canal) come out of the canal through infraorbital foramen as infra orbitl nerve Site of block and indication 1. Around infra orbital foamen Nose, upper lip, incisor teethand adjacent gum 2. Inside infra orbital foramen Canines up to 1st premolar tooth and adjacent gum How to locate the infraorbital foramen Imaginary line from nasoincisive notch and end of facial crest half the way in this line and 2cm upward the infra orbital foramen locate after pushing up the levator labii maxillaris muscle
  • 26.
  • 27.
  • 28.
  • 30. Mental nerve • Sensory nerve • Trigeminal nerve • Mandibular nerve • Enter mandibular canal through mandibular foramen and run in the canal as mandibularalveolar nerve out from the canal through mental foramen as mental nerve • Siteof blocking and indication • 1. around mental foramen Desensitize lower lip, chin, lower incisor and adjacent gum 2. Inside mental foramen 3. Lower canine upto 1st premolar and adjacent gum the mental foramen located : Below oral commissure ormiddle of interdental space after pushing the depressor labii inferioris muscle
  • 31.
  • 33. Maxillary nerve • Sensory nerve • Branches of trigeminal nerve(5 cr N) enter infra orbital canal through mxillary foramen in ptrygopalatine fossa • Site • Under the zygomatic process of eye • Indication • Desensitize upper molar, canine and incisor teeth and adjacent gum + lips and nose • Skin above maxillarysinus specially rostral(traphining)
  • 34.
  • 35.
  • 36.
  • 37. Mandibular nerve • Mixed nerve • Branch of trigiminal nerve • Site and indication • At the level of mandibular foramen : • At medial aspect of mandibe • To locate it draw imaginary line parallel to occlusion surface of cheek teeth and other from lateral canthus of the till mandibular angle • Insert needle: • A-obliquely or • B- at extension of line taken from lateral canthus of eye till mandibular angle( need longer needle) • Will block entire lower jaw