This patient, about 60 years of age, is brought before you to illustrate certain methods of procedure in operating on the Gasserian ganglion. He was affected with neuralgia confined almost entirely to the superior maxillary nerve. For this condition several operations had been done on the face, but the pain having returned I performed Carnochan's operation on Meckel's ganglion. An opening was made in the anterior wall of the maxillary sinus, the posterior wall was chiseled through and by means of hooks and curettes the ganglion was broken up and removed as much as possible. He remained free from pain for three or four months and then had a return. The question arose as to whether an attack should be made on the Gasserian ganglion itself or on the superior maxillary nerve within the skull. The removal of the ophthalmic branch with the ganglion is now, I believe, avoided when
DAVIS GG. METHOD OF EXPOSING THE GASSERIAN GANGLION: REMOVAL OF THE SUPERIOR MAXILLARY NERVE. JAMA. 1900;XXXIV(17):1034. doi:10.1001/jama.1900.24610170012001b
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