Lectures on the American eclectic system of surgery . d pushed through whenit meets with obstruction. A few dropsof blood from the nostril will showwhen it has entered that cavity; some-times there will be quite a sign is that, on withdrawing the probe, the patient canblow wind out at the eye. The Tube (see Fig. 121, page 728),or Style (Fig. 122), according to preference, is then to be in-serted; and the wound healed sooner or later, as the case or ope-rators judgment indicates. [See for the Disease and MedicalTreatment, page 285]. Operations on the Lids and Conjunctiva. Wounds
Lectures on the American eclectic system of surgery . d pushed through whenit meets with obstruction. A few dropsof blood from the nostril will showwhen it has entered that cavity; some-times there will be quite a sign is that, on withdrawing the probe, the patient canblow wind out at the eye. The Tube (see Fig. 121, page 728),or Style (Fig. 122), according to preference, is then to be in-serted; and the wound healed sooner or later, as the case or ope-rators judgment indicates. [See for the Disease and MedicalTreatment, page 285]. Operations on the Lids and Conjunctiva. Wounds dividing the eyelids may require sutures, the inter-rupted, using very small needles. Extraction of the cilia may be necessary for trichiasis, inver-sion of the lids, or districhiasis, the malposition of the hairsthemselves. In the latter case, a touch or two of Caustic willoften prevent the necessity for repeating the operation. Entropion or Inversion may be otherwise injurious than fromthe irritation of the ball by the lashes just referred to, and. OPERATIONS ON THE LIDS AND CONJUNCTIVA. 733 require for its correction a shortening of the outer fold of thelid, or a lengthening of the inner, and perhaps even a removalof the tarsus. The first object can often be effected by cauter-izing the lid on the outside, the second by simply incising themucous membrane. Ectropion or Eversion may require the same treatment as thelast case, the complete removal of a part of the lid, or just thereverse, a shortening of the mucous fold and a lengthening ofthe cutaneous. The tarsus may have to be divided or removedas in the former case. Ptosis, the elongation or drooping~of the lids, may be con-nected with or induce the former cases, particularly entropion,and be remedied by similar surgery. The opposite fault, ortoo short eyelids lagophthalmos, has often to be treated likeectropion. Either may be the result of muscular contractionor palsy, and remediable by corresponding means. New eye-lids or
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
