It is not the purpose of this paper to modify the surgical technic of the prevailing procedures on the lid, such as the van Milligan and the Webster operations. The article deals solely with pain associated with removal of transplants of mucous membrane from the lip and cheek.
The earlier operations on the lid were performed with the patient under a general anesthetic.1 Later a 1 per cent solution of procaine hydrochloride was used to anesthetize the eyelid. Many surgeons use a topical application of a 10 per cent solution of cocaine hydrochloride in an attempt to alleviate the pain which usually accompanies removal of a graft of mucous membrane from the lip and cheek.
Dentists, oral surgeons and those familiar with regional anesthesia about the face have known for years that infiltration of procaine hydrochloride into the labial fold anterior to the incisor teeth produces anesthesia in the
Stewart M. A SIMPLE METHOD OF PRODUCING ANESTHESIA DURING REMOVAL OF TRANSPLANTS OF MUCOUS MEMBRANE. Arch Ophthalmol. 1939;22(4):667–669. doi:10.1001/archopht.1939.00860100151012
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