A text-book on diseases of the ear, nose and throat . r end of the middle size). turbinal are the most difficult of access of all the hypertrophies. When the wire loop cannot be applied, somevariety of cutting forceps may be used. Yery often there is not room toseize much with the forceps, and in these cases a small ring-knife on aslender stem or the instrument called the spokeshave is more effectivethan the forceps. The spokeshave blade best suited to the work is pear-shaped. These ring-knife blades scrape off the polypoid hypertrophiespiecemeal. The hypertrophied posterior end of the lower t
A text-book on diseases of the ear, nose and throat . r end of the middle size). turbinal are the most difficult of access of all the hypertrophies. When the wire loop cannot be applied, somevariety of cutting forceps may be used. Yery often there is not room toseize much with the forceps, and in these cases a small ring-knife on aslender stem or the instrument called the spokeshave is more effectivethan the forceps. The spokeshave blade best suited to the work is pear-shaped. These ring-knife blades scrape off the polypoid hypertrophiespiecemeal. The hypertrophied posterior end of the lower turbinal is, as a rule,not difficult to engage in the wire loo]3. A loop of suitable size is to bebent at right angles to the snare-tube, and withdrawn a little within thisto facilitate introduction within the nose. The loop should be passedalong the lower meatus, and as soon as it has entered the nasopharynx itshould be pushed out of the tube again to the proper distance, and soheld that it will spring outward towards the lateral pharyngeal wall. It. 320 DISEASES OF THE NOSE AND NASOPHARYNX. should then be pressed upward and outward and drawn forward until itcan be felt to lightly engage the swollen end of the turbinal. Then theend of the tube must be firmly pressed into the tissues and the snaretightened. Sometimes passing the finger into the nasopharynx is of usein applying the loop. When the use of the snare is impossible, it is bestto cauterize the tissues of the lower turbinal with the galvano-cautery,but the results are not so certain as in intumescent rhinitis. The mostefficient method of cauterization is that described under intumescent rhi-nitis, where it is shown that two or three linear incisions are usually Fig. 115.
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