A manual of diseases of the nose and throat . Moshers speculum in position. blades of the speculum are opened the mucous mem-brane is held at an appreciable distance away from thecartilage. With the Ballinger swivel-knife (Fig. 44) insertedinto the cartilage at the upper portion, and pushed 140 DISEASES OF THE NOSE. Fig. 44. upward and backward as far as it will go, or in thecase of a very marked angular deflectionas far as the dissection has thus far gone,then downward and forward, practi-cally the whole of the cartilaginous sep-tum is separated from its forceps this portion
A manual of diseases of the nose and throat . Moshers speculum in position. blades of the speculum are opened the mucous mem-brane is held at an appreciable distance away from thecartilage. With the Ballinger swivel-knife (Fig. 44) insertedinto the cartilage at the upper portion, and pushed 140 DISEASES OF THE NOSE. Fig. 44. upward and backward as far as it will go, or in thecase of a very marked angular deflectionas far as the dissection has thus far gone,then downward and forward, practi-cally the whole of the cartilaginous sep-tum is separated from its forceps this portion of the carti-lage is easily withdrawn from the is usually found that some of the carti-lage at the upper posterior and lowerportions is not removed with the knife Fig. 45. S3 Ballingerswivel-knife. Jansen-Middleton forceps. and will have to be cut away piecemeal with a suit- DEFORMITIES OF THE SEPTUM. 141 able forceps. The ones which I prefer for this pur-pose are the Jansen-Middleton (Fig. 45). In thosecases where extreme angular deformity exists and onlya portion of the membrane has been lifted on eitherside, it will usually be found to be comparatively easyto introduce a flat elevator, such as the Killian bluntelevator, and straighten out the bend in the septum assoon as the cartilage anterior to the angle has beenremoved. It is then easy to proceed with the elevationof the remainder of the membrane on each side of the Fig. 46.
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Keywords: ., bookcentury1900, bookdecade1900, bookpublisherne, booksubjectnose
