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December 4, 1915


Author Affiliations

Fellow of the American College of Surgeons MOBILE, ALA.

JAMA. 1915;LXV(23):2005-2006. doi:10.1001/jama.1915.02580230047013

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Having occasion to perform total removal of the orbit in a nephritic woman 81 years old for a recurring suspected melanotic sarcoma I determined on the use of local anesthesia, feeling that the prognosis did not warrant any serious operative risk. Much to my surprise the literature failed to disclose even a case report of this operation performed under local anesthesia injection, although the literature is replete with local anesthesia methods for tenotomy and operations on the bulbus oculi. There are also frequent references to various methods for deep orbital blocking of the trigeminal nerve.

The remarkable facility with which I performed complete removal under local anesthesia without pain or risk to the patient urges me to present what I believe to be an original technic. I wish also to present my avulsion of the supra-orbital and infra-orbital nerves and the contents of the infra-orbital canal and the supra-orbital notch

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