THE TECHNIQUE described here is presented as an answer to several difficult problems that have arisen in rhinoplastic practice.
The patient may arrive in the operating room undersedated and make the operation difficult. Or if oversedated, the patient must be treated for this. But worst of all the patient may be agitated as a result of barbiturates or other medication. If an erroneous diagnosis was made the patient may be given additional barbiturates, in which case worse complications ensue. Another problem is the patient who demands a general anesthetic because her friends have told her how painful the operation is, and how awful the hammer and chisel sounds are.
Perhaps there isn't universal agreement against performing rhinoplastic surgery under general anesthesia but there ought to be because of excessive bleeding, danger of blood aspiration, danger of circulatory reactions to adrenalin, and the annoyance of the endotracheal tube. On the other
GROSSAN M. A Technique for Rhinoplastic Surgery Anesthesia. Arch Otolaryngol. 1965;82(4):427–429. doi:10.1001/archotol.1965.00760010429019
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