Cleft palate repair requires high doses of opioids for pain control postop. An alternative
approach is placement of nerve blocks in the pterygopalatine fossa bilaterally, blocking the
maxillary nerve & covering the entire midface. Application of bilateral suprazygomatic
maxillary nerve blockade of the infraorbital nerve may provide effective analgesia for cleft
lip repair, improving time to oral intake, pain control and time to hospital discharge.