A manual of diseases of the nose and throat . & - -. HYPERTROPHIC RHINITIS. 99 pendulous edge of the inferior turbinate, or the underportion of the middle turbinate, it will be found moreconvenient to have the loop horizontally placed and thesnare threaded as shown in Fig. 27, also in Plate II. The loop having been inserted into the nostril so thatthe furthermost portion of the loop is posterior to thepart to be removed, firm lateral pressure should bemade with the canula against the outer wall of the noseand just in front of the projecting portion which it isdesired to remove ; the two finger
A manual of diseases of the nose and throat . & - -. HYPERTROPHIC RHINITIS. 99 pendulous edge of the inferior turbinate, or the underportion of the middle turbinate, it will be found moreconvenient to have the loop horizontally placed and thesnare threaded as shown in Fig. 27, also in Plate II. The loop having been inserted into the nostril so thatthe furthermost portion of the loop is posterior to thepart to be removed, firm lateral pressure should bemade with the canula against the outer wall of the noseand just in front of the projecting portion which it isdesired to remove ; the two fingers placed in the ringsof the sliding bar are then drawn with a quick move-ment toward the thumb, which is placed in the ring atthe end. The included mucous membrane will thus becaught in the loop of the snare and cleanly excised. Fig. Angular forceps. The excised portion will usually be found to remainwithin the nostril, and it may then be removed with apair of angular forceps (Fig. 28), or the patient mayforcibly blow through the nostril, the opposite one beingheld closed with the finger. This latter method, how-ever, sometimes causes an unnecessary amount of hemor-rhage, the nose being considerably congested and hemor-rhage increased by this act. 100 DISEASES OF THE NOSE. Should sharp hemorrhage follow the removal ofturbinal tissue, it may be controlled in one of the fol-lowing ways, which we should advise being employedin the order given : 1. About 10 grains of powdered suprarenal extractshould be blown into the nose, and a pledget of cottoninserted into the nostril to keep the blood from flowingout. The active principle will be dissolved by theblood, and coming in contact with the bloodvessels socontract them as to stop the bleeding. 2. Syringing (Fig. 19) the nose with very hot nor-mal saline solution. The tem
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