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Article
July 1934

LOCAL ANESTHESIA IN RADICAL OPERATIONS ON THE MAXILLARY SINUS: A Simple Method of One Injection

Author Affiliations

PHILADELPHIA
From the Oto-Rhinologic Service of Dr. George M. Coates, Graduate School of Medicine, University of Pennsylvania.

Arch Otolaryngol. 1934;20(1):67-69. doi:10.1001/archotol.1934.03600010074007

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Abstract

It is frequently desirable to employ local anesthesia in a radical operation on the maxillary sinus. Ether and gas anesthesia interfere with the work of the surgeon, aside from having other contraindications. Rectal anesthesia has its objections and objectors. Even avertin by rectum does not often give complete anesthesia and has the objectionable feature of requiring elaborate preparations, such as an enema, weighing of the patient, calculation of the dosage, and a request for the proper solution, and it results in prolonged sleep of several hours following the operation. It is not without fatal outcome.

Certain methods of local anesthesia have been used with satisfaction. Infiltration has been employed with poor results; block anesthesia has given excellent results. The latter method requires injection at several points and since at times it is difficult to locate the various foramina for injection, the method becomes difficult.

The method we describe is one

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