. 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. 166.—Ocular muscles viewed after removal of lateral wall of orbit: a, Eyeball;6, optic nerve; c, c, eyelids; d, maxillary sinus; e, pterygoid plate; /. foramen rotundum;g, roof of orbit; h, frontal sinus; i, supra-orbital nerve; k, septum orbitale; i, levator pal-pebral superioris; >, 3, superior and inferior recti; 4, 4, portions of the cut extern
. 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. 166.—Ocular muscles viewed after removal of lateral wall of orbit: a, Eyeball;6, optic nerve; c, c, eyelids; d, maxillary sinus; e, pterygoid plate; /. foramen rotundum;g, roof of orbit; h, frontal sinus; i, supra-orbital nerve; k, septum orbitale; i, levator pal-pebral superioris; >, 3, superior and inferior recti; 4, 4, portions of the cut external rectus;5, internal rectus; 6, inferior oblique; 7, insertion of superior oblique; 8, annular ligament ortendon of Zinn. (Testut.) Nasal nerve Rectus superior IAnnular letulon | | I. Lachrymal nerve j ~ //I Ciliary ganglion ami nerves Fig. 167.—Scheme of the ophthalmic nerve after Corning. (Braun.) The recognized routes of orbital puncture are:(1) Medial orbital route, first described by Peuckart for reachingthe nasal nerve (Figs. 168-176). 5°° LOCAL ANESTHESIA Lateral orbital route of Braun for reaching the frontal and lacrimalbranches of the ophthalmic (Figs. 168, 169). (3) Orbital route, through sphenomaxillary fissure to spheno-maxillary fossa, to reach the second division of the fifth at the foramenrotundum, the Matas route (Figs. 177-179). (4) The retrobulbar methods of infiltration for bulbar operations—the methods of Seigrist, Lowenstein, and others.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanesthe, bookyear1914
