. 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. point to the lower border of theinferior maxillary bone, so that it passes between the two bicuspidteeth in both jaws, it will pass over the infra-orbital and mental for-amina, the former being situated about 1 cm. (finch) below the marginof the orbit, the latter varying in position according to the age of theindividual. In the adult it is midway between t


. 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. point to the lower border of theinferior maxillary bone, so that it passes between the two bicuspidteeth in both jaws, it will pass over the infra-orbital and mental for-amina, the former being situated about 1 cm. (finch) below the marginof the orbit, the latter varying in position according to the age of theindividual. In the adult it is midway between the upper and lowerborders of the inferior maxillary bone, in the child it is nearer the lower THE HEAD, SCALP, CRANIUM, BRAIN, AND FACE 485 border, and in the edentulous jaw of old age it is close to the uppermargin (Fig. 158). The infra-orbital and mental nerves can be reached at the foraminathrough the mouth or from without for paraneural injections. Theinfra-orbital foramen is located by the tip of the finger, and is foundjust above the root of the first bicuspid, about \ to 1 cm. below therim of the orbital fossa (Fig. 156). With the finger held at this point,the lip is raised and the needle entered high up slightly posterior to. Fig. -Points for deep injections and line of infiltration for craniotomy over cerebellum.(From Braun.) the root of the canine tooth, and some Little distance from the bonenearer the labial than the alveolar attachment of the mucous mem-brane, so that the needle in being advanced can be directed slightlybackward and upward (Fig. 157). The solution is injected as theneedle is advanced, until its point is felt just under the palpatingfinger which locates the foramen; as the nerve hugs the bone in thisposition, dividing into palpebral, nasal, and labial branches, theinjection must be made deep down in close contact with the bone;about 2 drams of a 1 per cent, novocain-adrenalin solution is required, 486 LOCAL ANESTHESIA and in about ten minutes,


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914