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Article
August 27, 1887

LETTER FROM PARIS.

JAMA. 1887;IX(9):285. doi:10.1001/jama.1887.02400080029013

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Abstract

(FROM OUR OWN CORRESPONDENT.)

Cocaine in Staphylorrhaphies and Plastic Operations—Retention of the Placenta after Miscarriage.

Dr. Ehrmann, of Mulhouse, Corresponding Member of the Paris Academy of Medicine, proposes the employment of cocaine as an adjuvant in certain staphylorrhaphies, whether simple or complemental. After having related the cases that came under his notice, Dr. Ehrmann concludes that the analgetic effect determined on the soft palate by a solution of cocaine is scarcely more than superficial, and that this local anæsthia, really precious for certain cases, can never replace chloroform in palatoplasty, nor even in staphylorrhaphy properly speaking, complete, in that which necessitates muscular sections, or detachments of the palatine bone. The cases where, in congenital fissures, the division is practised on only one portion of the soft palate where therefore a simple apposition is sufficient for union, these cases are assimilable to complemental or partial staphylorrhaphies, but they are very rare.

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