Lignocaine or ropivicaine in 10 mL syringe with 25 ga needle. Clean area Insert 1-2cm below ear in line with the tragus, inserting towards the tragus in the subcutaneous tissue. Infiltrate 2 mL of local whilst withdrawing the needle Without withdrawing redirect posteriorly along the mastoid to a point corresponding to the level of the tragus. Whilst withdrawing inject 2mL local along this track Repeat from an entry point 1-2cm superior to the ear - in line with the tragus to inject anterior and posterior to the upper ear, in order to form a ring
Clean area
Insert 1-2cm below ear in line with the tragus, inserting towards the tragus in the subcutaneous tissue. Infiltrate 2 mL of local whilst withdrawing the needle
Without withdrawing redirect posteriorly along the mastoid to a point corresponding to the level of the tragus. Whilst withdrawing inject 2mL local along this track
Repeat from an entry point 1-2cm superior to the ear - in line with the tragus to inject anterior and posterior to the upper ear, in order to form a ring