A text-book on diseases of the ear, nose and throat . orse 568 DISEASES OF THE PHARYNX. than the pain. The latter can practically be iDrevented by injecting intothe spots selected for the application of the cautery a drop or two of atwo per cent, solution of cocaine, carrying it under the mucosa by meansof a curved needle, and cauterizing quickly after. The cautery shouldbe applied cold to the area which is to be burned, and then heatedand allowed to burn its way out. Care should be taken not to have ittoo hot. It should be tested with the rheostat before insertion, allowancebeing made for the
A text-book on diseases of the ear, nose and throat . orse 568 DISEASES OF THE PHARYNX. than the pain. The latter can practically be iDrevented by injecting intothe spots selected for the application of the cautery a drop or two of atwo per cent, solution of cocaine, carrying it under the mucosa by meansof a curved needle, and cauterizing quickly after. The cautery shouldbe applied cold to the area which is to be burned, and then heatedand allowed to burn its way out. Care should be taken not to have ittoo hot. It should be tested with the rheostat before insertion, allowancebeing made for the fact that the moisture of the part operated upon willabstract some of the heat. A heat approaching the white should be the standard used, for when thehot cautery comes in contact with the moist tissue it will be cooled down tothe proper temperature. Too great a heat will lead to possible hemorrhage,though, under the circumstances, this is trifling. Again, caution shouldbe exercised with reference to bearing outward with the electrode when Fig. Schechs universal handle for galvano-caustic operations in the pharynx, nose, and , snare; b, cautery for the turbinates; c, d, e, cauteries for granulations and hypertrophied lateralbands; /, cautery for the turbinates. Any of these tips may be used for tonsil operations, according tothe requirements of each individual case. the heat is turned on, so as to leave a perfect drain and to prevent im-paction of a slough in the cicatrix, as it may lead to local supi^ sites may be cauterized at one sitting. When the surface of thetonsil is smooth and there seem to be no special points for insertion of thecautery-tip, broad furrows may be burned across it, say two each should be advised of the necessity of eating only bland foods andavoiding hot ingesta for a few days after treatment. A slough will appear,which will clear off in from four to six days, at which time the burningcan be repeated on the othe
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