Diseases of the nose and throat; a text-book for students and practitioners . like. If small, there are rarely sufficient symptoms to attract thepatients attention; if large, it may press upon the opposite sideof the canal and cause erosion and a bloody or ichorous dis-charge. Osteomata may grow to such a size as to invade neigh- 124 DISEASES OF THE NOSE AND THROAT. boring structures and give rise to marked deformity. Afterremoval there is little tendency to recur. The remedies suggested are calc. carb., fluor., hecla, iod.,mere, phos., silica, and sulph. EXOSTOSES. Osseous outgrowths spring f
Diseases of the nose and throat; a text-book for students and practitioners . like. If small, there are rarely sufficient symptoms to attract thepatients attention; if large, it may press upon the opposite sideof the canal and cause erosion and a bloody or ichorous dis-charge. Osteomata may grow to such a size as to invade neigh- 124 DISEASES OF THE NOSE AND THROAT. boring structures and give rise to marked deformity. Afterremoval there is little tendency to recur. The remedies suggested are calc. carb., fluor., hecla, iod.,mere, phos., silica, and sulph. EXOSTOSES. Osseous outgrowths spring from the bony walls,—as a rule,from the septum. They project in the form of a spur or shelfof hard, bony tissue, occasionally so large as to press upon thestructures on the opposite side of the nasal canal, but generallythey are quite small and self-limiting. Most exostoses are ofivory hardness, being devoid of cancellous tissue; but the softerprojections usually contain some of this structure within their in-terior. They may return after removal, but there is no tendency. Fig. —Teets >asal Bo>e-Fokceps. to degeneration. Malnutrition seems to play an important partin their formation. Symptoms,—Frequently there are no symptoms indicatingthe presence of an exostosis, but it may reach such dimensionsas to occasion pressure-pain, reflex asthma, or even obstructedrespiration. The septum is sometimes thickened or forced intothe opposite fossa. Treatment.—Medicines have not proved useful in combat-ing these bony outgrowths; so that their removal dependsupon surgical measures. It must be remembered, however, thatthere are comparatively few cases that require treatment. Theseptal saw (preceded by the use of cocaine or, in very nervoussubjects, a general anaesthetic) will be found the most useful EXOSTOSES. 125 instrument in removing these projections. The haemorrhage israrely profuse, and, if anything be required, can usually becontrolled by pressure. When the spur of b
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