We shall report twenty-seven cases of acute mastoiditis, with and without complications, in which operation was done under spinal anesthesia. One of us, who has had about four and one-half years' experience with the use of procaine hydrochloride in subarachnoid block, during the latter year and one-half of which it was used to induce anesthesia of the entire body, including the thorax, neck and head, suggested the advisability of performing operations on the mastoid under this anesthesia. Accordingly, on July 24, 1928, the first mastoidectomy was performed with this type of anesthesia.
In this series of twenty-seven patients the ages ranged from 6 months to 68 years. Two of them were females. In four of the total number bilateral mastoidectomies were performed; in one a sinus operation with jugular ligation was also performed. One patient died as a result of a streptococcus meningitis, after three operations,
KOSTER H, WOLF N. SPINAL ANESTHESIA IN MASTOID SURGERY. Arch Otolaryngol. 1930;12(5):591–600. doi:10.1001/archotol.1930.03570010673003