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November 1943


Author Affiliations


Arch Otolaryngol. 1943;38(5):445-446. doi:10.1001/archotol.1943.00670040464004

It is well known that occasionally there is rather profuse bleeding at the site of the incision for submucous resection, which is troublesome to stop, and that one has to use suction and epinephrine or attempt to catch the small bleeder with a hemostat. This happened in a submucous operation which I performed several months ago. Earlier in the morning I had been using the diathermy knife for the removal of a small basal cell tumor, and it occurred to me that a bloodless incision for the submucous operation might be made with the cutting blade of the diathermy knife.

All of my submucous operations are performed with the area under local anesthesia induced after a preliminary medication of 1½ grains (0.097 Gm.) of pentobarbital sodium and a no. 1 or a no. 2 injection of a mixture of hyoscine, morphine and cactine. I first swab the mucous membrane with

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