. The principles and practice of modern surgery . he polypus may be brought into are very often more than one of these tumours, and they are veryliable to return when removed. If polypus be permitted to remain, itcontinually increases in size, blocks up the nostril, displaces the septum,and obstructs the other nostril, causes prodigious deformity of the cheek,prevents the passage of the tears, and may even cause death by pressureon the brain. Treatme?it.—A probe should be introduced to feel for the neck of thepolypus, which should then be seized with forceps, and be gently twistedof
. The principles and practice of modern surgery . he polypus may be brought into are very often more than one of these tumours, and they are veryliable to return when removed. If polypus be permitted to remain, itcontinually increases in size, blocks up the nostril, displaces the septum,and obstructs the other nostril, causes prodigious deformity of the cheek,prevents the passage of the tears, and may even cause death by pressureon the brain. Treatme?it.—A probe should be introduced to feel for the neck of thepolypus, which should then be seized with forceps, and be gently twistedoflT. If, as sometimes happens, it projects backwards into the pharynx, itmust be extracted through the mouth with curved forceps. After the operation, the nostril should be plugged to restrain bleeding. [The last edi-tion of Fergussons Practical Surgery contains the following valuableremarks on this subject:— In general, such an instrument as that repre-sented in fig. 115, will enable the surgeon to effect his intentions, thus :-— Fig. The patient being seated, the blades of the forceps must be passed intothe nostril, one on each side of the growth, if possible, when they shouldbe closed over its roots, and withdrawn by a twisting, pulling motion, soas to separate the disease from the mucous membrane above. In some in- 382 NASAL POLYPUS. Stances this can be done readily, and with one application of the instru-ment; at other times it must be introduced again and again, when thesubstance is removed piecemeal; and the best criterion of the operation beinc:complete is, that the patient can breathe freely through the passage. Some-times it is necessary to repeat the proceedings in the course of a few weeksor months, as the ordinary simple gelatinous polypus, unless it be tho-roughly removed, is almost sure to grow again. In certain instances when the tumour is of considerable size a ligaturemay be most advisable: this being drawn tight round the root of the masswill cause
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