The operating room and the patient; a manual of pre- and post-operative treatment . of compressed cotton inseveral sizes conforming to the natural curve of the anteriornares. They are gently pushed into position while dry, theoozing from the bleeding point saturates them and causes themto swell and so arrests hemorrhage. At the end of forty-eighthours such a plug may be removed piece-meal. Prevention of Adhesions.—T\Tien the nasal cavity is very narrowadhesions between the two surfaces tend to form. The rawsurfaces should be gently separated with a flat probe and aristolapplied by an atomizer,
The operating room and the patient; a manual of pre- and post-operative treatment . of compressed cotton inseveral sizes conforming to the natural curve of the anteriornares. They are gently pushed into position while dry, theoozing from the bleeding point saturates them and causes themto swell and so arrests hemorrhage. At the end of forty-eighthours such a plug may be removed piece-meal. Prevention of Adhesions.—T\Tien the nasal cavity is very narrowadhesions between the two surfaces tend to form. The rawsurfaces should be gently separated with a flat probe and aristolapplied by an atomizer, A strip of green-silk protective is laidon the raw surfaces and held in place by a light packing. Thisis renewed daily and the nose gently irrigated with Dobellsolution. Prevention of Displacement.—^Plugging of the anterior naresis used following operations upon the bony septum and followingosteoplastic operations upon the nose. The packing need notbe so tight as that for the prevention of hemorrhage, for if theparts have been properly placed there is slight danger of dis-. OPERATIONS UPON THE HEAD 371 placement. Following removal of dead bone in syphilitic andtuberculous necrosis nasal splints (Fig. 181) are useful, not somuch for the purpose of preventing deformity, as to insure afree breathing space. Infection.—On account of the impossibility of perfect asepsisand the large number of germs which have their normal habitatin the nose wound disturbances by infection are common butfortunately rarely serious. Wounds of the nose heal under ascab. Erysipelas is much rarer now thanformerly, due to improved antisepticmethods; more rare still is progressivephlegmon. When either of these infec-tions occur death may result through ex-tension of the inflammation to the ethmoidand from there to the meninges, or bythrombophlebitis and pyemia, or decom- YTg. 181 Aschs posed products of putrefaction may be vulcanized tube -^ . ^ (iowlers burgery.) inspired and septic pneumoni
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
