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Article
March 1931

LOCAL ANESTHESIA FOR THE RADICAL MAXILLARY OPERATIONAN IMPROVED TECHNIC OF ADMINISTRATION

Author Affiliations

PHILADELPHIA

Arch Otolaryngol. 1931;13(3):379-385. doi:10.1001/archotol.1931.04230020065004
Abstract

The radical maxillary operation has been performed under local anesthesia by a number of operators, but the technic of administering the anesthetic is by no means standardized, varying as it does with each individual clinic, so that a great many methods have been employed. Some of these have been selected with the idea of infiltrating the tissues at the local site of the operative field; others with the idea of utilizing a combination of the block and infiltration methods. Most of these methods are unsatisfactory, because they distort the anatomic relationship of the check to the canine fossa, and especially because the innervation of the structures operated on is such that anesthesia by purely local infiltrative methods fails to produce complete relief from pain at distant foci. For example, during the process of removing bone with the gouge, while no pain may result at the site of manipulation, a great

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