Nikola Burić

FACULTY OF MEDICINE, CLINIC OF STOMATOLOGY - ORAL SURGERY, NIŠ, SERBIA

The paper deals with the use of new amide local anesthetic ropivacaine in the surgery of maxillary sinus. In a female patient with oroantral communication and a root deeply pressed into the maxillary sinus, 5 ml 0,75% of ropivacaine were used for the infiltration anesthesia. Moreover, 2 ml of ropivacaine were used for infraorbital and tuber anesthesia alike, whereas only 1 ml of ropivacaine was used for the terminal anesthesia of gingivae. The anesthesia provided by ropivacaine enabled the numbness during the operation process, the expected intraoperative as well as postoperative bleeding while the postoperative anesthesia lasted long enough to prevent the consumption of analgetics.

Key words: ropivacaine, local anesthesia, maxillary sinus, oroantral communication