Surgery Book


Forehead Regional Block

Aka: Forehead Regional Block, Regional Anesthesia for the Forehead, Supraorbital Nerve Block, Supratrochlear Nerve Block
  1. See Also
    1. Regional Anesthesia (Nerve Block)
    2. Local Skin Anesthesia
    3. Field Block
    4. Hematoma Block
    5. Digital Block
    6. Point of Care Ultrasound (POCUS)
  2. Indication
    1. Regional Anesthesia for forehead
  3. Physiology: Landmarks (V1-ophthalmic branch nerves)
    1. Images
      1. FacialNerveBlockLinearPattern.jpg
    2. Supraorbital Nerve
      1. Exits skull at supraorbital foramen, along the orbital ridge
      2. Upper orbit border, between upper lid and brow
      3. Centered over upper lid (~2.5 cm lateral to midline) and directly above the pupil on forward gaze
    3. Supratrochlear Nerve
      1. Exits skull 1 cm medial to supraorbital foramen
  4. Technique: Supraorbital and Supratrochlear Nerve Block
    1. Images
      1. SurgeryBlockForehead.jpg
    2. Locate supraorbital foramen as above
    3. Insert needle
      1. Lateral to supraorbital foramen
      2. Direct needle medially, parallel to brow, toward nose
    4. Infiltrate mid-two thirds of lower edge of eyebrow
      1. Use 5-7 cc of 1% Lidocaine
      2. Inject just above bone level
      3. Redirect needle if Paresthesias or sharp pain
  5. Complications
    1. Eyelid Swelling
    2. Hematoma
    3. Periorbital Ecchymosis
  6. References
    1. Moy in Pfenninger (1994) Procedures, p. 145-55
    2. Latham (2014) Am Fam Physician 89(12): 956-62 [PubMed]
    3. Salam (2004) Am Fam Physician 69(3):585-90 [PubMed]

You are currently viewing the original '\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree