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Ultrasound-Guided Supraorbital Nerve Block For Orbital Chronic Cancer Pain - A Case Report

1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Diponegoro University/Kariadi General Hospital, Semarang, Indonesia

2Diponegoro University/Kariadi General Hospital, Semarang, Indonesia

Received: 21 Feb 2024; Published: 31 Mar 2024.

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Abstract

Background: Many individuals with cancer suffer from pain symptom, typically ranging from moderate to severe levels. Multimodal approach has been used widely to manage the cancer pain. The ultrasound-guided peripheral nerve block has increasingly been used in the interventional pain management of chronic pain cases.

Case: A 54-year- old woman with metastatic breat cancer with osteolityc skull lesions complaining severe pain in periorbital area of left eye. Traditional systemic pain relief treatments were not successful in adequately reducing the pain. Ultrasound-guided supraorbital nerve block using ropivacaine 0.375% and methylprednisolone 125mg combination was successfully performed to reduce pain score of patient.

Discussion: Interventional methods aimed at managing cancer-related pain can function as successful treatment approaches for individuals who do not respond to or cannot tolerate systemic opioids. Peripheral nerve block is a technique which has been developed to help in relieving chronic case. When administered in conjunction with other therapies such as systemic analgesics, radiotherapy, and chemotherapy, the use of peripheral nerve blocks may provide valuable relief for a specific aspect of a patient's overall pain condition and improve quality of life.

Conclusion: Peripheral nerve blocks appear to be a safe option and may offer substantial pain relief, reducing the reliance on opioids in individuals with advanced cancer.

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Keywords: cancer pain; chronic pain; ophthalmic block; peripheral nerve block; ultrasound-guided

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