21 Maxillary Block
Perspective
Local anesthetic block of the maxillary nerve in its peripterygoid location is most commonly used to evaluate facial neuralgia. However, it can be used to facilitate surgical procedures in the nerve’s cutaneous distribution (Fig. 21-1). Injection of neurolytic solution from the lateral approach to the maxillary nerve in its peripterygoid location should be undertaken with extreme caution owing to its location near the orbit.