The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . se to ditificulty in respirati(m, and thus interferes with the due arteriali-sation of the blood in the lungs, and impairs the childs speech, it be-comes necessary to remove that portion of the growth which projectsbeyond the arches of the palate. This may best be done by the ordi-nary tonsil guillotine. The ring of the instrument being passed overthe tumor, the cutting blade is pushed forwards, and thus a slice of theprojecting part of the growth is removed. In some cases ditiiculty isexperience
The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . se to ditificulty in respirati(m, and thus interferes with the due arteriali-sation of the blood in the lungs, and impairs the childs speech, it be-comes necessary to remove that portion of the growth which projectsbeyond the arches of the palate. This may best be done by the ordi-nary tonsil guillotine. The ring of the instrument being passed overthe tumor, the cutting blade is pushed forwards, and thus a slice of theprojecting part of the growth is removed. In some cases ditiiculty isexperienced in bringing the tonsil fairly into the ring of the instrument;this may be obviated by drawing it through with a vulsellum or doublehook, and indeed, in some of the machines sold for the purpose a doublehook is attached, which, being fixed into the tonsil, draws it forwardsl)efore it is sliced off (Figs. 63<i, 637). In performing this operation itis best for the Surgeon to stand behind the patient, more particularly inexcising the right tonsil, as he can thus look better into the mouth and. 520 DISEASES OF THE MOUTH AND THROAT. liave more command over the head ; or he may stand in front, and nsetlie left hand lor the right tonsil, and vice versa (Fig. ()38). Should aguillotine not he at iiand, tlie tonsil ma}^ be removed by seizing it witha vulsellum, drawing it forwards, and then taking olf a slice with a probe-
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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative
