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Article
May 30, 1914

A SATISFACTORY LOCAL ANESTHESIA FOR THE SUBMUCOUS RESECTION OF NASAL SEPTUM

JAMA. 1914;LXII(22):1724. doi:10.1001/jama.1914.02560470024011

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Abstract

Realizing the difficulties encountered by many in securing a satisfactory local anesthesia for the submucous resection of the nasal septum, I offer to the profession this method, which has been very satisfactory to me in over four hundred resections. Some years ago I was not entirely satisfied with any of the methods I had seen used and I began to try out various methods in the hope of securing a technic that would eliminate the objectionable features of all methods, which are fright, nervousness, toxicity from cocain and epinephrin solution, shock, hemorrhage obscuring the operative field and the sequelae of severe headaches and toothache as the effect of the cocain wears off.

The several elements in my anesthesia are not original, but as far as I am aware the whole technic is original and is given below.

Half an hour before I begin to produce the local anesthesia the patient

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