Transactions . e lower hypertrophy with the scissors anddeal with the hypertrophy adjoining the septum with the aidof the cautery (See Fig. 8), drawing one or at most twolinear incisions from behind forward, along the entire lengthof the swelling. Hypertrophies of the posterior end of the lower turbinalare most easily removed with the snare. The scissors alsocan be used in some noses. The use of the saw in dealing with the inferior turbinateis still a favorite instrument of torture with some, but, likethe spoke shave, it is too difficult to control to make it gen-erally popular. The submucous
Transactions . e lower hypertrophy with the scissors anddeal with the hypertrophy adjoining the septum with the aidof the cautery (See Fig. 8), drawing one or at most twolinear incisions from behind forward, along the entire lengthof the swelling. Hypertrophies of the posterior end of the lower turbinalare most easily removed with the snare. The scissors alsocan be used in some noses. The use of the saw in dealing with the inferior turbinateis still a favorite instrument of torture with some, but, likethe spoke shave, it is too difficult to control to make it gen-erally popular. The submucous resection of the inferior turbinal may be 274 done ill llici>f cases where the obstruction i> due eliiefly tothe bony hypertrophy. l)ut it is so rarely that we iind sucli acondition present that the method is seldom applicable. It is of course important in trimming the mar-gin of your turbinal that 3-ou make your resection along theentire length of the hypertrophy wdiich usually includes the. Fig. y. Turbinal hypertrophy showing contact with septtnn and nasal —Line of section in removing lower edge ot turbinate. 2—Point atwhich cautery is applied to reduce hypertrophy encroaching upon theseptum. extreme posterior end. (See Fig. 9.) If 3ou remove simplythe anterior third, or the anterior two-thirds of the hyper-trophy and leave the posterior enlargement, your operationhas failed of its purpose and your patient is worse than be-fore. His nose is still obstructed and he has in addition avicious ])ocket where the anterior ])ortion of bone was re- 275 moved, in which pocket mucus is continually collecting andis blown out only with difficulty. The consideration of top-ical applications and other methods of local treatment havebeen purposely omitted in order to conserve time. Any operation on the lower turbinal for nasal obstructionshould be preformed with a view to leave the nose in as nearly
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