Clinical otolaryngology and allied sciences
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Clin Otolaryngol Allied Sci · Dec 1988
Randomized Controlled Trial Comparative Study Clinical TrialLocal versus general anaesthetic in the management of the fractured nose.
Displaced fractured noses are usually manipulated under general anesthetic. The appearances of fractured noses were assessed and the airways measured by rhinomanometry before and after nasal manipulation in 29 patients. Seventeen received a local anaesthetic (LA) and 12 a general anaesthetic (GA) for the manipulation. ⋯ Bony manipulation did not affect the nasal airway. Local anaesthesia was acceptable to all but one patient. The benefits, including those of cost and safety, of local anaesthetic for manipulation of almost all fractured noses are discussed.
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Clin Otolaryngol Allied Sci · Dec 1988
Randomized Controlled Trial Clinical Trial Controlled Clinical TrialExperience with a new topical anaesthetic in otology.
Producing good local anaesthesia of the external auditory meatus and tympanic membrane has always been a difficult problem facing otologists. Previously used methods are mentioned and the use of a new eutectic mixture of local anaesthetics (EMLA) for electrocochleography, myringotomy and grommet insertion in adults and older children is described. A double-blind controlled trial involving 15 patients (30 ears) undergoing electrocochleography showed EMLA to be a very effective, safe and convenient preparation for outpatient otological use.