Society for Pediatric Pain Medicine
Better Care for Children in Pain

The Society for Pediatric Pain Medicine (SPPM) aims to advance the quality of anesthesia care and the alleviation of pain-related conditions in children.

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Question of the Month-August

Welcome to your Question of the Month August 2020

Petrus Paulus Steyn, MD 
Fellow, Department of Anesthesiology and Critical Care Medicine
Children's Hospital of Philadelphia




A 6-month old boy with isolated cleft palate repair  presents for surgical repair by the plastic surgery team. His mother is well prepared for the preoperative conversation and asks that her boy’s anesthesia team use an opioid sparing technique. The patient has a 1x1cm congenital melanocytic nevus under his left eye. You elect to do a suprazygomatic maxillary nerve block. After inducing the patient with sevoflurane, placing an IV and securing the airway with an oral right angle endotracheal tube, you obtain an image of the pterygopalatine fossa with a linear probe positioned bellow the zygomatic arch.




Please choose the option that most correctly represents the anatomical structures identified on this ultrasound imaging of the pterygopalatine fossa.


 

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Upcoming Meeting Information

SPPM 13th Annual Meeting
March 12, 2026
Sheraton Denver Downtown
Denver, CO

 

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