Surgical therapeutics and operative technique . a difficult enough procedurewhen the surgeon is not ambidextrous. But it may be enucleated in thesame way as the left on placing the patient in the Rose position. Complications of Tonsillotomy.—The haemorrhage, formerly so muchdreaded, is usually insignificant. When the flow of blood persists, in caseof a subject of haemophilia, it is arrested by direct compression with theforceps represented in Fig. 232. The wider jaw should be supported on theskin of the lateral cervical region, while the narrower one, which lasij bewrapped in a ribbon of gauze
Surgical therapeutics and operative technique . a difficult enough procedurewhen the surgeon is not ambidextrous. But it may be enucleated in thesame way as the left on placing the patient in the Rose position. Complications of Tonsillotomy.—The haemorrhage, formerly so muchdreaded, is usually insignificant. When the flow of blood persists, in caseof a subject of haemophilia, it is arrested by direct compression with theforceps represented in Fig. 232. The wider jaw should be supported on theskin of the lateral cervical region, while the narrower one, which lasij bewrapped in a ribbon of gauze, compresses the area from which the bloodemerges. Adenoid Vegetations of the Pharynx. Adenoid vegetations of the naso-pharynx are of frequent occurrence ininfancy. They may develop during the fiist years, before the child haslearned to speak, to the point of producing auricular complications that maylead to the establishment of a condition of deaf mutism. The well-knownfacies of children affected with adenoid growths—the elongated visage,. Fig. 236.—Horizontal Section of Pharynx between the Pavilions of the Eustachian Tubes. Seizure of adenoid vegetations with tlie gouge-forceps. hollow cheeks, and ogival palate—are not equally characteristic in all most constant sign is sleeping with the mouth open. Hypertrophy ofthe mucous covering of the inferior turbinated bones and hypertrophy ofthe tonsils often coincide with the presence of adenoid vegetations. Thediagnosis, which should be a probable one from the objective signs alone, isconfirmed by the digital examination; this can be practised under narcosisat the moment of preparing for operation. I usually remove at one seance OPERATIONS ON THE HEAD 127 the adenoid vegetations of the naso-pharynx, the tonsils, and, if necessary,the exuberant margin of the inferior turbinated bone. Operation.—General anaesthesia, at first with ethyl chloride, thenwith chloroform. At the opportune moment the limbs and the headsho
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