Diseases of the nose and throat; a text-book for students and practitioners . precaution witli small growths. If the trephineor burr of the dental engine or electric motor be used, the cover-ing of the growth should be divided and the point passed throughthe incision. If the burr rotate quite rapidly, the soft tissuesescape much injury while the hard bone is speedily haemorrhage is quite profuse for a time, but is easily con-trolled by pressure. Electrolysis is strongly advised by and Bergonie, and has acted well for me. Both mono-polar positive and bipolar galvano-punctu
Diseases of the nose and throat; a text-book for students and practitioners . precaution witli small growths. If the trephineor burr of the dental engine or electric motor be used, the cover-ing of the growth should be divided and the point passed throughthe incision. If the burr rotate quite rapidly, the soft tissuesescape much injury while the hard bone is speedily haemorrhage is quite profuse for a time, but is easily con-trolled by pressure. Electrolysis is strongly advised by and Bergonie, and has acted well for me. Both mono-polar positive and bipolar galvano-puncture have been em-ployed. Sail-makers needles (of steel) are best for the H. von Klein {The Times and Register^ November 23, 126 DISEASES OF THE NOSE AND THROAT. 1889) has devised nasal bone-forceps which make the sectionfrom below, leaving the membrane intact above; by the aid offorceps the severed spur or ridge is removed, when the mem-brane is to be gently pressed into position, where it promptlyunites. The galvano-cautery and acids act well for Fig. 47.—Von Kleins Nasal Bone-Forceps Malignant Tumors. SARCOMATA. Sarcomata appear either as primary or secondary consist of round or spindle cells, either small or large, andare quite soft and exceedingly- vascular. In some instancesthey extend from surrounding tissues and involve the nose bycontinuity. They are malignant in nature, and usually re-formrapidly after removal. While there is generally the underlyingcancerous cachexia, these tumors sometimes result from thedegeneration of benign growths. Symptoms.—In the early stages nasal obstruction and painare the chief symptoms, but soon superficial ulceration, offensive,ichorous discharge, and headache are noted; the accessorycavities often being early invaded. Later, deep ulcerationsoccur and involve the surrounding parts by extension; thefeatures may be distorted, or the groAvth extend to the brainand speedily terminate life. Diagnosis
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