. A manual of diseases of the nose and throat. le of the instrument. In the Jackson set there is asmall electric lamp at the distal end of the tube. Intralaryngeal operations for the removal of newgrowths are to be done with the aid of cocaine. A 20per cent, solution should be applied to the interior ofthe larynx with a cotton-wround laryngeal applicator,and at the end of five minutes a second application usu-ally suffices to deaden the sensibility of the larynx so thatsuitable instruments may be inserted and the growthseized and removed. Few patients have both theknack of protruding their ton
. A manual of diseases of the nose and throat. le of the instrument. In the Jackson set there is asmall electric lamp at the distal end of the tube. Intralaryngeal operations for the removal of newgrowths are to be done with the aid of cocaine. A 20per cent, solution should be applied to the interior ofthe larynx with a cotton-wround laryngeal applicator,and at the end of five minutes a second application usu-ally suffices to deaden the sensibility of the larynx so thatsuitable instruments may be inserted and the growthseized and removed. Few patients have both theknack of protruding their tongues and sufficient controlover the muscles of the pharynx to allow one to removethe growth at the first visit. It is advisable in nervouspatients to cocainize the larynx and simply introduce aprobe at the first one, two, or three visits, until the NON-MALIGNANT GROWTHS OF THE LARYNX. 503 confidence of the patient and his aid can be securedbefore any attempt at removal of the growth isundertaken. Pedunculated growths may be included Fig. t Authors serrated laryngeal forceps. Authors lateral cutting laryngealforceps. in the wire of a snare and removed in the same waythat polypi are removed from the nose. The canulaand stylet made for this purpose are curved for entrance 504 DISEASES OF THE LARYNX. into the larynx, and fit into the Schroetter handle (). All instruments should be warmed before beingintroduced into the larynx, as the cold steel coming incontact with the mucous membrane produces contrac-tion of the laryngeal muscles, even though sensibilityto pain has been deadened by the use of the growth cannot be included in the loop ofthe snare some form of forceps, either cutting orserrated, must be employed to remove the growth piece-meal. The double curette (Fig. 112) of the author, orthe serrated forceps (Fig. 119, a), which may be the same handle, are well adapted to the removal ofthe growth piecemeal. Where the growth is small andsituated o
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