Question 161 · LDEK · Anesthetic techniques

The point of needle insertion in the case of a masseteric nerve block (Bercher’s technique) is:

  1. A. crossing of two lines - horizontal, running 1cm under and parallel to the zygomatic arch, and vertical running just 1cm anterior to the head of the mandible.
  2. B. angle created by the anterior margin of the masseter muscle and the lower rim of the zygomatic arch.
  3. C. 0.5 cm below the masticatory surface of the upper third molar, perpendicularly to the surface of the mucosa (with the mouth wide open).
  4. D. point just below the earlobe beyond the mandibular ramus.
  5. E. none of the above.
Hint

Think about where the masseteric nerve passes from the infratemporal fossa to the muscle and how that spot is reached through the skin.

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