. Diseases of the nose and throat . bleeding. This may beremoved in a day or two, but as the bleeding may startagain, the patient should be so situated for a few days thatthe packing may be replaced if necessary. The removal of too much turbinate may result in a drynasal cavity with a tendency to scabbing and should becarefully avoided. In some cases an obstructing lower turbinate may besimply fractured outward and held until united in thisnew position, thus widening the respiratory passage. DISEASES OF THE NASAL CAVITIES 105 Obstruction to breathing due to enlargement of themiddle turbinate i
. Diseases of the nose and throat . bleeding. This may beremoved in a day or two, but as the bleeding may startagain, the patient should be so situated for a few days thatthe packing may be replaced if necessary. The removal of too much turbinate may result in a drynasal cavity with a tendency to scabbing and should becarefully avoided. In some cases an obstructing lower turbinate may besimply fractured outward and held until united in thisnew position, thus widening the respiratory passage. DISEASES OF THE NASAL CAVITIES 105 Obstruction to breathing due to enlargement of themiddle turbinate is not generally classed under the head ofhypertrophic rhinitis. It may be due to bullous middleturbinate, polypoid degeneration, or other diseases of theethmoid region. As a rule a middle turbinate chronicallyenlarged enough to obstruct breathing, should be removedin the manner described under the diseases of the ethmoidcells. Hypertrophy of the Posterior End of the Lower Turbin-ate.—This may be an actual hypertrophy, or merely a. Fig. 29.—Enlargement of the posterior end of the right lower turbinate. temporary engorgement or intumescence, the latter beingthe more common. The posterior end of the lower turbin-ate is seen in the posterior rhinoscopic mirror as a sphericalbody arising from the lower outer corner of the under normal conditions it varies much in size andcolor, so that it may be mistaken for a polypus or a newgrowth. If it is simply an engorged posterior end of thelower turbinate it will shrink under cocaine. If there isreason to believe that from its size or its tendency to enlarge, 106 DISEASES OF THE NOSE AND THROAT the patient suffers discomfort, it may be removed. This isbest done by passing the wire loop of an ecraseur through theinferior meatus into the nasopharynx, bringing it frombehind over the enlarged end of the turbinate and cuttingthis through with the wire. Chronic Rhinitis with a Tendency to Atrophy.—Somecases of simple chronic rhi
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Keywords: ., bo, bookcentury1900, bookdecade1910, booksubjectnose, bookyear1915
