Bheemas B. ATLAPURE, Mahammad Azeez ASPARI, Dalim Kumar BAIDYA, Habib M. Reazaul KARIM
Turkish Journal of Anaesthesiology and Reanimation - 2026;54(1):81-82
This letter to the editor describes a case of a 2-year-old boy with multiple facial lacerations involving the left mouth angle, philtrum, infraorbital, and maxillary areas caused by a dog bite. A triple nerve block (infraorbital, mental, and supra-zygomatic maxillary) was performed using landmark-based techniques under general anesthesia. The combined blocks provided effective pain control for 48 hours postoperatively without the need for rescue analgesia. This approach suggests that triple nerve blocks can be a valuable component of multimodal analgesia for complex pediatric facial trauma to avoid systemic opioid-related side effects.
