Supraorbital and supratrochlear nerves block for oncologic surgery of the anterior scalp and forehead in the elderly

Abstract

Surgical management of larger oncologic lesions of the scalp is often in elderly patients with comorbid illness.

In many of these cases, general anesthesia as well as only local infiltration is not always recommended 1. Scalp block technique has described by Girvin in 1986 for use during awake craniotomy 2 but the technique did not gain its due popularity for several more years, until the demonstration that blocking is safe and reproducibly successful in maintaining hemodynamic stability and in improving perioperative management of patients undergoing craniotomy 3