Education  |   January 2018
Images in Anesthesiology: Modified Cotton Swab Applicator for Nasal Sphenopalatine Ganglion Nerve Block
Author Notes
  • From the Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
  • Address correspondence to Dr. Grosh: taras.grosh@uphs.upenn.edu
Article Information
Education / Images in Anesthesiology / Central and Peripheral Nervous Systems / Regional Anesthesia / Respiratory System
Education   |   January 2018
Images in Anesthesiology: Modified Cotton Swab Applicator for Nasal Sphenopalatine Ganglion Nerve Block
Anesthesiology 1 2018, Vol.128, 140. doi:10.1097/ALN.0000000000001837
Anesthesiology 1 2018, Vol.128, 140. doi:10.1097/ALN.0000000000001837
THE modified cotton swab applicator assembled from ubiquitous components found in most operating rooms is an alternative to costly commercial devices (Tx360 [Tian Medical, LLC, Grayslake, Illinois] and Sphenocath [Dolor Technologies, LLC, Salt Lake City, Utah]) for sphenopalatine ganglion nerve blocks. Anesthetizing the sphenopalatine ganglion is both diagnostic and therapeutic for cluster, migraine,1,2  and postdural puncture headaches.2  The largest of the four parasympathetic ganglions associated with the trigeminal nerve,3  the sphenopalatine ganglion, sits in the pterygopalatine fossa close to the sphenopalatine foramen located superior and deep to the posterior attachment of the middle turbinate.3 
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