Diseases of the nose and throat . a variety of forceps and cur-ettes, some to cut antero-posteriorly and some laterally (Fig. 87).The forefinger or steel finger nail as recommended by Dalby orMotais (Fig. 88), with the Gottstein curette (Fig. 89) and thelarge-bladed forceps of the author (Fig. 90) comprise the instru-ments capable of meeting all possible contingencies. Many operators Fig. 88. Motais Artificial Finger Nail. express strong preference for the cold wire snare to be introducedthrough the nostril or by means of a curved canula behind the rare cases in which the patient refu
Diseases of the nose and throat . a variety of forceps and cur-ettes, some to cut antero-posteriorly and some laterally (Fig. 87).The forefinger or steel finger nail as recommended by Dalby orMotais (Fig. 88), with the Gottstein curette (Fig. 89) and thelarge-bladed forceps of the author (Fig. 90) comprise the instru-ments capable of meeting all possible contingencies. Many operators Fig. 88. Motais Artificial Finger Nail. express strong preference for the cold wire snare to be introducedthrough the nostril or by means of a curved canula behind the rare cases in which the patient refuses to submit to the knife orin which we may apprehend hemorrhage the galvano-cautery maybe resorted to, applied under the guidance of the mirror behind thevelum with the aid of the palate hook, the parts having been thor- ADENECTOMY. 235 oughly cocainized. We should endeavor in every case to removeor destroy the tissue as thoroughly as possible, and after the forcepsand curette have been employed the parts should be explored for. Fig. 89. Gottsteins Adenoid Curettes ; Showing Size and Shape of Blades. possible remnants or tabs of adenoid tissue still requiring atten-tion. The after-treatment consists simply in keeping the patient at is unwise and unnecessary to disturb him by any application ordouching; the drainage in this region is so perfect that indicationsof septic infection arc almost unheard of. A number of cases ofhemorrhage and several of fatal bleeding after removal of adenoids 236 DISEASES OF THE NOSE AND THROAT. have been reported by J. E. Newcomb and others, and serve to im-press upon us the importance of securing the history of all casesbefore operation as well as of careful attention afterwards. Chil-dren should not be permitted to sleep continuously for several hours;they should be watched for any irregularity in the there be signs of persistent bleeding, after failure of at-tempts to check it by means of astringent irrigations of alu
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
