A text-book on diseases of the ear, nose and throat . Lateral wall of nose. (Heymann.) «&, anteriorend of middle turbinated body removed withscissors; jjc, processus uncinatus, showing its re-moval with scissors. EMPYEMA OF THE MAXILLARY ANTRUM. 371 flange o]3ens out, and the tube is thoroughly secure. These tubes areinexpensive and very much more comfortable than gold. The patientshould always stop up the opening with a pledget of cotton while mild irrigating solutions, such as suggested for washing the antrumthrough the natural opening, do not lessen the discharge, in washingfrom t


A text-book on diseases of the ear, nose and throat . Lateral wall of nose. (Heymann.) «&, anteriorend of middle turbinated body removed withscissors; jjc, processus uncinatus, showing its re-moval with scissors. EMPYEMA OF THE MAXILLARY ANTRUM. 371 flange o]3ens out, and the tube is thoroughly secure. These tubes areinexpensive and very much more comfortable than gold. The patientshould always stop up the opening with a pledget of cotton while mild irrigating solutions, such as suggested for washing the antrumthrough the natural opening, do not lessen the discharge, in washingfrom the oral orifice one can employ some of a more stimulating are zinc, copper in watery solution, and diluted hydrogen diox-ide. A solution of protargol of from five to twenty per cent, is often of Fig. Lateral nasal wall after removal of middle turlDinal. (Heymann.) hpu, hypertrophic mucosaover processus uncinatus ; lihc, hypertrophied mucosa over bulla ethmoidalis; sf, frontal sinus; L Sch,Schiiffers location for puncture of frontal sinus; ss, chronic inflammation of sphenoidal sinus withthickened bony wall and cicatricial thickening of mucosa (m). great value, and a solution of potassium permanganate, one-quarter grainto the ounce, may be of advantage. It may take two years for the dis-charge to cease, and as in the interval the patient suffers only the discom-fort of having to wash out his antrum once or twice daily, it is well towait before adopting the more radical measure of making a broad open-ing through the anterior wall of the antrum above the molar teeth. Itis best to employ general anjBsthesia for this operation. The corner ofthe mouth should be drawn strongly upward by means of a broad, blunthook, while an incision is made through the mucous membrane and 372 DISEASES OF


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