Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Fig. 76. Empyema filled with bismuth paste, causing symptoms of absorptionin two weeks. Prompt removal of paste resulted in complete recovery and cure. the next twenty-four hours small ulcerations began to appear back ofthe wisdom teeth. The chest cavity was at once washed out withwarm olive oil and the paste withdrawn with suction pump. (Fig. 77.)The cavity was refilled with sterile vaselin in order to prevent theentrance of air. The secretions in the meantime had become abso- 198 BISMUTH PASTE IN CHRONIC
Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value . Fig. 76. Empyema filled with bismuth paste, causing symptoms of absorptionin two weeks. Prompt removal of paste resulted in complete recovery and cure. the next twenty-four hours small ulcerations began to appear back ofthe wisdom teeth. The chest cavity was at once washed out withwarm olive oil and the paste withdrawn with suction pump. (Fig. 77.)The cavity was refilled with sterile vaselin in order to prevent theentrance of air. The secretions in the meantime had become abso- 198 BISMUTH PASTE IN CHRONIC SUPPURATIONS. lutely sterile and reduced in quantity. The symptoms of bismuthabsorption at once began to disappear, and within three weeks not asign of them remained. The cavity was treated by repeated suctionto expand the resilient lung. Two more injections of a 10-percent bis-muth paste were given at intervals of ten days. Finally all the pastewas withdrawn, the cavity closed, and now the contracted lung has ex-. Fig. 77. Method of withdrawing mixture of paste and olive oil twenty-fourhours after injection of the latter. panded sufficiently to fill out the entire space first occupied by thebismuth paste. The sinus is closed, and the patient has gained greatlyin weight and general health. We have shown that bismuth poisoning can be pre-vented, and when it does appear it can be checked. Thuswe are able to eliminate the objectionable feature of thebismuth paste treatment. CHAPTER XV. BISMUTH PASTE IN THE TREATMENT OF CHRONIC SUPPURATIVE DISEASES OF THE NOSE, ACCESSORY SINUSES, EARS, AND MASTOID PROCESS. BY JOSEPH C. BECK, M. One of the first cases of the head treated by means ofbismuth paste, and subsequently reported by Dr. EmilBeck, was a tuberculous osteoperiostitis of the orbit, withabscess and fistulous formation, in a child, and so strik-ing was the therapeutic result that I from that time—January 24, 1908—began to employ this method of treat-ment with great enthu
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