KUMJ | VOL. 19 | NO. 3 | ISSUE 75 | JULY - SEPT. 2021
Tumescent Local Anesthesia in Parotid Abscess - Novel Application of Old Technique
Raghuraman MS, Gopi S, Radhakrishnan A, Madhu G, Ishwaryarajan MS, Selvam P
Abstract: Tumescent local anesthesia (TLA) is a regional anesthetic technique in which the
diluted local anesthetic drug (commonly lidocaine) and epinephrine solution
in large volume is injected subcutaneously around the site of incision. The main
advantages of TLA are excellent bloodless field and longer duration of analgesia
because of addition of epinephrine. Although TLA was used in various surgical
procedures, there is no literature to date that has reported its use in the parotid
region. Hence, we present an interesting case where this old technique found a
novel application in avoiding general anesthesia and its sequelae. We also believe
that it provides valuable information to doctors of various categories such as
surgeons, Anesthesiologists and general practitioners/family physicians.
Keyword : Anesthetic technique, Parotid abscess, Tumescent local anesthesia