All operative work permits of variation in the technic within certain bounds to accomplish the result desired, according to the ingenuity and individual equation of the operator. No operator should follow a set routine in doing an operation when circumstances in the case or his own predilection demand a modification. It is necessary only to follow the basic principles governing the technic in order to secure a successful issue.
In my early work in this operative procedure, I adopted the prescribed method of inducing anesthesia through the use of cocain. After operating a number of times by inducing local anesthesia, I became impressed with the fact that I was doing justice neither to the patient nor to my sense of nervous equanimity through operating by this method, and resolved to do the subsequent operations under general anesthesia. I have now, for over a period of years, done all of
RICHARDSON CW. SOME SUGGESTIONS IN THE METHODS OF CORRECTING DEFLECTION OF THE NASAL SEPTUM. JAMA. 1912;LIX(12):1131–1132. doi:10.1001/jama.1912.04270090375074
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