Practical podiatry : . EPITHELIOMA VERRUCA 191 changes its nature and becomes malignant, is the prognosisunfavorable. Treatment. The treatment of verruca is more variedthan the treatment of any other chiropodical lesion, and thepractitioners using these different methods all seem to favorthe one particular form with which they have had the mostexperience and thebest results. Treatment is gen-erally effective, thepercentage of f a i 1-ures being very small,notwithstanding thestatement of thosewho expect immediateresults, and not re-ceiving them, claimfailure on the part ofthe practitioner. The
Practical podiatry : . EPITHELIOMA VERRUCA 191 changes its nature and becomes malignant, is the prognosisunfavorable. Treatment. The treatment of verruca is more variedthan the treatment of any other chiropodical lesion, and thepractitioners using these different methods all seem to favorthe one particular form with which they have had the mostexperience and thebest results. Treatment is gen-erally effective, thepercentage of f a i 1-ures being very small,notwithstanding thestatement of thosewho expect immediateresults, and not re-ceiving them, claimfailure on the part ofthe practitioner. The varioustreatments are as fol-lows: Potential Cau-tery—including thefollowing chemicals:Nitric Acid, AceticAcid, MonochloraceticAcid, TrichloraceticAcid, Salicylic Acid,Silver Nitrate, Potas-sium Hydroxide, Sodium Hydroxide and PyrogallicAcid. Excision. Fulguration. Electrolysis. Direct Cautery. Carbon Dioxide MULTIPLE VEEEUCA 192 PODIATRY Potential Cautery. The treatment of verruca by tlie useof chemical agents which destroy the tissues to which theyare applied, is unquestionably the most popular method oftreating this lesion and is practised to a great extent bymodern podiatrists. The tissues are destroyed in one of twoways, depending upon the chemical selected. The acidcaustics destroy the tissues by oxidizing them, and the alkalicaustics destroy the tissues by dehydrating them. There-fore the kind of tumor with which one has to deal is a factorin determining which caustic is best suited for rapid andcertain cure. A verruca which is hard and dry will be easilydestroyed by oxidation, whereas a verruca that is soft andmoist will be easiest of removal by The selection of a particular chemical for removing acertain type of growth, is more or less a matter of individualchoice on the part of the operator, as any one of the recog-nized remedies will suffice if the technic of its a
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