. Diseases of the nose and throat . her Ingals makes an in-cision along the lower margin of the spur, dissects up the mucosa,and, retracting it to free operation, excises the projecting mucous membrane is then drawn down and sutured to its formerattachment. By this means the original mucosa is retained in itsentirety. Kyle follows a similar plan in curvature of the septum. Loeb advocates the use of sharp, highly-tempered curettes, par-ticularly in cases where saws cannot be used. Cheval, Ballinger, Casselberry, and other recent writers haveused electrolysis with good results in r
. Diseases of the nose and throat . her Ingals makes an in-cision along the lower margin of the spur, dissects up the mucosa,and, retracting it to free operation, excises the projecting mucous membrane is then drawn down and sutured to its formerattachment. By this means the original mucosa is retained in itsentirety. Kyle follows a similar plan in curvature of the septum. Loeb advocates the use of sharp, highly-tempered curettes, par-ticularly in cases where saws cannot be used. Cheval, Ballinger, Casselberry, and other recent writers haveused electrolysis with good results in removing cartilaginous spurs. 84 DISEASES OF THE NASAL PASSAGES. The latter found electromotor force of 11 to 14 volts necessary, witha current-strength of from 15 to 40 milliamperes, according to theamount of resistance found in the spur operated upon. The timefor each sitting was from five to eight minutes, to be repeated twoor three times at intervals of several days. In some cases after removing a spur or ridge, at the base of a. Fig. 52.—Section of cartilaginous spur from the nasal septum (25diameters), a, Stratified ciliated epithelium, ft, Stratified squamous epi-thelium, c, Glands, d, Connective-tissue layer, e. Cartilaginous spur, thelower, shaded portion undergoing calcification. (Authors specimen byBensley.) convex curvature, I have corrected the curve above by the use of asilver tube. If the instrument is worn for a few weeks or months,the cartilage, being pressed by it into the normal position, will re-main so with but little subsequent deflection, the adjustment being DEEOKMITIES OF THE NASAL SEPTUM. 85 rendered easy by the cutting away of the spur or ridge base. Theadvantage of silver tubes lies in their lightness, aseptic character,smooth surface inside and out, and the fact that a silversmith canform one to suit each special case. The open tube enables the patientto breathe through it. A small bulge placed on the outer wall willsecure its retention, and the pa
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