. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. recommends a regional anesthesiablocking the septal nerves. He makes the injection at two points—(i)just anterior to the tuberculum septi in an upward direction, and (2)at a point just below the middle of the lower border of the middle tur-binate (Fig. 245). 3S 594 LOCAL ANESTHESIA The Inferior Turbinate.—This is anesthetized in much the same wayas the sep
. Local and regional anesthesia : with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and on other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. recommends a regional anesthesiablocking the septal nerves. He makes the injection at two points—(i)just anterior to the tuberculum septi in an upward direction, and (2)at a point just below the middle of the lower border of the middle tur-binate (Fig. 245). 3S 594 LOCAL ANESTHESIA The Inferior Turbinate.—This is anesthetized in much the same wayas the septum, except that greater difficulties are usually encountered,particularly when it is large, overhanging, and encroaching upon thesurrounding parts; however, the application of the cocain-adrenalinsolution soon produces a certain amount of shrinkage, making the poster, laterallesser palatine art nasal nerves „ sphenopalatine posterior lateral nasal arteries/ olfactory nerves (lateral) post palatine nc _. spneno/iatatine , , / • / < I \ \ Qrt I /*?;* ? \ *\* i y ^upenor /,\ / . / / * f ? - \ -?!- - .. wons/m <_ ,.-/ / / #M-ift anterior nasal or oj,imt. ethmoid, nerve nterior lateral nasal nasal concha. Uvula !glossopharyngeal nerve i ton- lingual vallate lingualascending palatine art. s//f branch \ papillae folliclestonsillar br. br palatine tonsil \ , mandible X , \ dorsum of tongue great palatine palatine nerve Fig. 242.—The nerves and arteries of the outer nasal wall and of the palate. Thetongue has been drawn out, all of the nasal septum except its lower portion removed, andthe mucous membrane of the faucial isthmus divided along the glossopharyngeal nerve andthe ascending palatine artery. ** = Sphenoidal sinus. * — Divided branches to nasal septum. = Anastomosis between nasopalatine and anterior palatine nerves. + = mucous membrane of hard palate. (Sobotta and McMurrich.) concealed parts more accessible. At times it is necessary to reac
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
