A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . a woodcut of which will be foundfurther on (see Fig. 79, p. 253). Some cases classified as hypertrophy of 1 Neue Beitniee zur Rhinochirurgie. Wieii, 1883. ?Berlin, klin. Wochenschrift, L881, No. 4. •Trans, [ntern. Med, Congress, London, 1881, vol. iii., p. 327 et seq.; and The(New York) Medical Record. .Tune 10, 1882. 4 Philadelphia Med. Times, January 14, 1882. See also the report of a case byThierfelder (Atlas der path. HistoL, Lief. 1) referred to by Seiler. HYPERTROPHY
A manual of diseases of the throat and nose : including the pharynx, larynx, trachea, oesophagus, nose and naso-pharynx . a woodcut of which will be foundfurther on (see Fig. 79, p. 253). Some cases classified as hypertrophy of 1 Neue Beitniee zur Rhinochirurgie. Wieii, 1883. ?Berlin, klin. Wochenschrift, L881, No. 4. •Trans, [ntern. Med, Congress, London, 1881, vol. iii., p. 327 et seq.; and The(New York) Medical Record. .Tune 10, 1882. 4 Philadelphia Med. Times, January 14, 1882. See also the report of a case byThierfelder (Atlas der path. HistoL, Lief. 1) referred to by Seiler. HYPERTROPHY OF THE MUCOUS MEMBRANE OF THE NOSE. 223 the nasal mucous membrane are also probably of papillomatous nature (seePapilloma of the Nose). The prognosis is favorable, for almost every case can be cured by suitable treatment. The treatment frequently needs to be of a vigorous character, but at anearly stage the mildest measures are sometimes sufficient, the daily use ofgum-elastic bougies often effecting a cure. The smallest size of instru-ment should, as a rule, be used at first, and at the beginning of the treat-. no. 77.—Hypertrophy of the Posterior Three-fourths of the Lower Turbinated Body. From SpecimenNo. 2,201c in the Royal College of Surgeons Museum. (The outline of the nose has been added by theartist.) ment the bougie should be left in the nose for no longer than five minutesat a time ; after a few days, however, it may remain in &Uu from ten min-utes to a quarter of an hour, and at the end of a week it can be easilytolerated for half an hour. Larger bougies should afterward be employed,but force must be carefully avoided. Mild alkaline sprays or hand-washesare often of great service if the treatment is perseveringly carried outSneezing must be checked by smelling strong ammonia or acetic ether. Should this plan not succeed more active steps must be taken ; but aword of caution is perhaps necessary in connection with this point. For,though the introduction of the ele
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