Auriculotemporal Nerve Injection

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Auriculotemporal nerve block.png
Auriculotemporal Nerve Injection
Indication Headache disorders and laceration repair
Syringe 5mL
Needle 27-30g


Anatomy

The auriculotemporal nerve arises as a posterior division of the mandibular branch of the trigeminal nerve. It innervates the temples and the temporomandibular joint. The superficial branches supply the tragus and the auricle of the ear. Its proximal trunk is located superficially just anterior to the tragus.

Cranio-cervical Dermatomes.[1]

Cranial dermatomes.png

Technique

Landmark Guided

  • Position: patient seated and physician standing beside them, or with the patient supine and their head in a neutral position.
  • Injection point is just anterior to the tragus
  • Use a 5 mL syringe with a 30-gauge needle
  • Insert the needle 1โ€“2 mL into the subcutaneous tissue to a depth of about 4โ€“6 mm.
  • Aspirate to exclude arterial puncture and inject

References

Literature Review

  1. โ†‘ Blumenfeld et al.. Expert consensus recommendations for the performance of peripheral nerve blocks for headaches--a narrative review. Headache 2013. 53:437-46. PMID: 23406160. DOI.