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Article
June 1950

TRANSANTRAL APPROACH FOR EXCISION OF SPHENOPALATINE GANGLION FOR INTRACTABLE FACIAL PAIN

Arch Otolaryngol. 1950;51(6):891-900. doi:10.1001/archotol.1950.00700020917009
Abstract

FRAZIER, three decades ago, expressed the hope that a simple approach might be elaborated for the excision of the sphenopalatine ganglion. He was highly impressed by the beneficial effect derived from an anesthetic drug deposited on or near the ganglion. To his mind, however, the amelioration obtained this way was, unfortunately, temporary; permanent relief from the excruciating pains could be expected only after the sphenopalatine ganglion had been excised.

Since the preceding statement goes directly to the theme of this paper, it should not be passed off without some serious reflection. Frazier observed that certain persons during their period of suffering obtained swift and gratifying alleviation when an anesthetic drug was brought into contact with the nasal ganglion. The drug might be carried on a pledget of cotton or on an applicator or might be injected. There were undoubtedly times when the drug was not brought into immediate contact with

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