. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. the solution in concen-trated form over the trunks of the nerves at their points of emergenceupon the nasal septum. Some few operators recommend injectingthe solution at these points, and while this may in rare instances benecessary, as in the case of extensive scar formation or other condi-tions, the majority of operators find the swab sufficient, as the solu


. Local and regional anesthesia; with chapters on spinal, epidural, paravertebral, and parasacral analgesia, and other applications of local and regional anesthesia to the surgery of the eye, ear, nose and throat, and to dental practice. the solution in concen-trated form over the trunks of the nerves at their points of emergenceupon the nasal septum. Some few operators recommend injectingthe solution at these points, and while this may in rare instances benecessary, as in the case of extensive scar formation or other condi-tions, the majority of operators find the swab sufficient, as the solu- ORGANS OF SPECIAL SENSE WITH DENTAL ANESTHESIA 639 tion readily penetrates the overlying mucous membrane and reachesin effective strength the underlying nerves. (See discussion of theuse of concentrated solutions upon mucous surfaces in chapter onPrinciples of Technic.) By a study of the accompanying illustrations, showing the course atil. ethmoidal artery anterior ethmoidal nerve cribriform plate post, ^ \ artery / nasopalatine nerve septum (sphe- .^^ • /A sphenoid bone\^*\ \ ^P) ?, -•; 7/ ^anterior meningeal art. X olfactory nerves (medial)anter. art. ofnasal septumt. nasal br. oft. ethm. nerve. nrentrr cornu ,, ,oj hyoid hone yoglossus. Cliond. mandibula xMyJohyoideus X/ Geniohyoirieus Xliypoglossiit nerve X . / hvpoglossiitnerve Xlyoidhone Hyoglossus y. • Jeep lingnal art. Ungual artery Chondrophnryngeus subungual art. Fig. 246.—The nerves and arteries of the nasal septum and of the tongue. * = divadedposterior pharyngeal wall ** = sphenoidal sinus. (Sobotta and McMurrich.) and distribution of the nerve supply, a knowledge of regional methodshere is readily obtained (Figs. 246-250). The presence of scar tissue occasionally found in the septalmucosa, the result of previous disease (small-pox, etc.) or injury,may render the production of perfect anesthesia by means of appU- 640 LOCAL ANESTHESIA cators Impossible. In such cases resort must b


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