The superiority of local over general anesthesia in surgical treatment of the sinuses is obvious, provided satisfactory anesthesia is obtained. The best index of satisfactory anesthesia is the reaction of the patient. It is well worth while to spend sufficient time and effort to obtain freedom from pain and to mitigate in every way possible the unpleasant features incidental to any operative procedure. More careful attention to technical details and preoperative preparation of the patient with barbiturates has accomplished a great deal in this respect. Any minor addition, however trivial, to the efficacy of the anesthesia would appear worthy of consideration. No claim is made to originality in the technic described. In conversations with numerous physicians throughout the country, however, I have found many who were not conversant with it.
For the external fronto-ethmoid operation local anesthesia according to the technic described by Sewall and others has been satisfactory in
HILL FT. LOCAL ANESTHESIA FOR SURGICAL TREATMENT OF THE SINUSES. Arch Otolaryngol. 1938;27(2):197–200. doi:10.1001/archotol.1938.00650030206008
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