A text-book on diseases of the ear, nose and throat . ^ folded out of the way, and the redundant tissue, not beingremoved, obstructs the nares. In those methods which dex^end on crucialor similar incisions and forcing over and holding the flaps in place untilunited, the natural elasticity of the cartilage will assert itself, the more sothe thicker the septum, so that there is liability to return of at least apart of the deformity. These objections pertain to the procedures thathave been mentioned, and for this reason Ingals aims at the entire re-moval of all redundancy of the buckled septum. T
A text-book on diseases of the ear, nose and throat . ^ folded out of the way, and the redundant tissue, not beingremoved, obstructs the nares. In those methods which dex^end on crucialor similar incisions and forcing over and holding the flaps in place untilunited, the natural elasticity of the cartilage will assert itself, the more sothe thicker the septum, so that there is liability to return of at least apart of the deformity. These objections pertain to the procedures thathave been mentioned, and for this reason Ingals aims at the entire re-moval of all redundancy of the buckled septum. The Ingals operationis especially applicable to the common angular deflections having a. 400 DISEASES OF THE Is^OSE AND NASOPHARYNX. vertical and a horizontal angle, described as the box-corner a preliminary to its performance the field is ansesthetized on bothsides of the septum by being swabbed over several times with a solutionof atropine, one-tenth grain ; strophanthin, one-fifth grain; oleum carj^o-phylli, three minims ; carbolic acid, ten grains ; cocaine muriate, twentygrains ; water, enough to make one ounce. The parts are sprayed duringthe last applications of this solution two or three times with the adrenal Fig. 151. Ingalss submucous cartilage knife (one-half natural size). For destroying resiliency of cartilage •without perforation. solution mentioned under the treatment of intumescent rhinitis. Theeffect of the adrenal solution is markedly to limit the annoying hemor-rhage. About twenty cotton swabs, on long four-cornered applicatorstapering to a quadrangular i)oint, are needed to wij^e off the blood whichinterferes with vision during the operatio
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