Open parotid gland biopsy under combined superficial cervical plexus and auriculotemporal nerve block

Abstract

Abstract Purpose In high-risk patients often regional anaesthesia is more preferable and easier to perform compared to general anaesthesia. In this case report we evaluate the efficacy of combined superficial cervical plexus block and auriculotemporal nerve block in an open parotid gland biopsy. Methods Under combined superficial cervical plexus block and auriculotemporal nerve block we performed an open parotid gland biopsy in a patient who suffered from severe systemic problems posing high risk for general anaesthesia. Results The operation was uneventful, the duration of anaesthesia and analgesia until the first analgesic request were satisfactory. Conclusion It can be concluded that the combination of a regional anaesthesia technique with a superficial cervical plexus nerve block and auriculotemporal block is an alternative and safe technique for patients with parotid gland tumours requiring biopsy for setting a diagnosis.