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November 1955

The Efficacy of Efocaine in Tonsillectomized Patients

Author Affiliations

From the Department of Otolaryngology of the Massachusetts Eye and Ear Infirmary.

AMA Arch Otolaryngol. 1955;62(5):490-492. doi:10.1001/archotol.1955.03830050032007

An effective means of controlling the postoperative discomfort of tonsillectomy has long been sought by physicians and patients alike. With the development of long-action depot anesthetics, it was thought that, at long last, such relief might be available. This type of anesthesia had shown great promise in other fields, and reports were published in the literature regarding its use in controlling the postoperative pain of tonsillectomy.

Penn,1 using 1 to 1.5 cc. on each side, reported excellent results in 45 cases (37 children, 8 adults), stating the results were "most dramatic." A high degree of local pain control was achieved in every instance, lasting five to six days, with no dysphagia or earaches and no untoward complications. Allen,2 using 3 cc. on each side, also reported very good results in 20 patients, with no complications. Davidson and associates,3 using 1.5 cc. on one side only, thereby having