. 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. Fig. 2iq.—Shows direction of needle in transfixing gasserian ganglion by Hartelroute, viewed from base of skull. (Original illustration from collection of Prof. Matas.) (d) Determination of the direction—seen from the front the can-nula points exactly to the pupil of the eye on the same side; seen fromthe side, to the tuberculum articulare of the zygomatic


. 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. Fig. 2iq.—Shows direction of needle in transfixing gasserian ganglion by Hartelroute, viewed from base of skull. (Original illustration from collection of Prof. Matas.) (d) Determination of the direction—seen from the front the can-nula points exactly to the pupil of the eye on the same side; seen fromthe side, to the tuberculum articulare of the zygomatic Fig. 220.—Shows axis of needle in transfixing gasserian ganglion by Hartel route,seen from within on sagittal section of skull. (Original illustration from collection ofProf. Matas.) (e) The puncture of the foramen ovale takes place under continu-ing feeling with the hard and smooth surface of the planum infra-temporale from the anterior exterior long side of the foramen. THE HEAD, SCALP, CRANIUM, BRAIN, AND FACE 553 (/) After the foramen ovale is reached (relaxing of resistance,radiating pain in the area of distribution of the third branch) the slid-ing catch is shoved back ih cm. from the puncture point of the skin,and the cannula is introduced into the foramen ovale until pain isexperienced also in the area of distribution of the second branch. (g) Attachment of the syringe containing 2 slow injectionof the solution, which must not exceed 1 (k) Immediate testing of the anesthesia. Within the middle fossa of the skull (Figs. 207, 208) the followingpoints are of interest:


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914