Erector Spinae Plane Block As An Adjunct To Multimodal Analgesia In Combined Mandibulectomy And Neck Dissection (Commando Surgery): A Case Report
Keywords:
erector spinae plane block, COMMANDO surgery, multimodal analgesia, head and neck cancer surgery, regional anaesthesia.Abstract
Combined Mandibulectomy and Neck Dissection (COMMANDO) is an extensive oncologic procedure commonly performed for advanced malignancies of the oral cavity and adjacent structures.These surgeries are associated with severe postoperative pain due to extensive tissue dissection and mandibular resection.Effective perioperative analgesia is essential to improve patient comfort and reduce opioid consumption. The erector spinae plane block (ESPB) is an ultrasound-guided interfacial plane block that provides both somatic and visceral analgesia through diffusion of local anesthetic to the paravertebral space.When performed at upper thoracic levels,it may provide analgesic coverage extending to cervical dermatomes.
