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Local anaesthesia in flexible nasendoscopy. A comparison between cocaine and co-phenylcaine

Published online by Cambridge University Press:  29 June 2007

P. Lennox ,
J. Hern ,
M. Birchall  and
V. Lund
P. Lennox*
Affiliation:
Department of Rhinology, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
J. Hern
Affiliation:
Department of Rhinology, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
M. Birchall
Affiliation:
Department of Rhinology, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
V. Lund
Affiliation:
Department of Rhinology, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London, UK.
*
Address for correspondence: Miss P. Lennox, The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1 8DA. Fax: 0171 833 9480.
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Abstract

Flexible nasendoscopy is now an integral part of the diagnostic process in Otorhinolaryngology. Topical local anaesthesia is generally recommended and cocaine is usually the drug of choice in view of its concurrent vasoconstrictor action. However, it is expensive, a controlled drug and serious side effects have been reported. Co-phenylcaine forte is a new preparation which also has both local anaesthetic and vasoconstrictor properties. This study compares the efficacy of cocaine and Co-phenylcaine in flexible nasendoscopy and concludes that they provide similar local anaesthesia and vasoconstriction of the nasal mucosa. Co-phenylcaine forte can therefore be used as an alternative to cocaine in flexible nasendoscopy.

Keywords

EndoscopNoseAnaesthesialocalCocaine
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 6 , June 1996 , pp. 540 - 542
Copyright
Copyright © JLO (1984) Limited 1996

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