INTRODUCTION: There has been a recent interest in injecting large body and face areas with local anesthetic in a minimally @entity158 . The method includes adherence to minimal @entity158 injection details as well feedback from the @entity1 who counts the number of times he feels @entity158 during the injection process. This article describes the successes and limitations of this technique as applied to primary @entity3384 /nasal repair in grown @entity1 . METHODS: Thirty-two primary @entity3384 @entity1 were injected with local anesthesia by 3 surgeons and then underwent surgical correction of their deformity. At the beginning of the injection of the local anesthetic, @entity1 were instructed to clearly inform the injector each and every time they felt @entity158 during the entire injection process. RESULTS: The average @entity1 felt @entity158 only 1.6 times during the injection process. This included the first sting of the first 27-gauge needle poke. The only @entity158 that 51% of the @entity1 felt was that first poke of the first needle; 24% of the @entity1 only felt @entity158 twice during the whole injection process. The worst @entity158 score occurred in a @entity1 who felt @entity158 6 times during the injection process. Ninety-one percent of the @entity1 felt no @entity158 at all after the injection of the local anesthetic and did not require a top-up. CONCLUSION: It is possible to successfully and reliably inject local anesthesia in a minimally @entity158 for @entity3384 and nasal repair in the fully grown cleft @entity1 .

Minimally painful local anesthetic injection for XXXX /nasal repair in grown @entity1 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity3384 :: ('MESH:D002971', 'Disease') :: ['cleft lip'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain', 'painful manner']
@entity3384 :: (MESH:D002971,Disease) :: ['cleft lip']
