Operative surgery . pening quicklyhealed. Excision of the Tonsil.—The excision of the tonsil can be done with anordinary bistoury or with curved scissors, aided by a tenaculum. Thevarious forms of tonsillotomes, while they simplify the operation by givingthe operator a perfect control over the cutting edge, are not necessary to itsexecution. The Removal of the tvith the Knife or ;.sors.—If the patient beyoung or unable to exercise self-control, give an anaesthetic, or apply to thetonsil a strong solution of cocaine. Cause a bright light to shine into theopen mouth; depress the to
Operative surgery . pening quicklyhealed. Excision of the Tonsil.—The excision of the tonsil can be done with anordinary bistoury or with curved scissors, aided by a tenaculum. Thevarious forms of tonsillotomes, while they simplify the operation by givingthe operator a perfect control over the cutting edge, are not necessary to itsexecution. The Removal of the tvith the Knife or ;.sors.—If the patient beyoung or unable to exercise self-control, give an anaesthetic, or apply to thetonsil a strong solution of cocaine. Cause a bright light to shine into theopen mouth; depress the tongue; seize the tonsil with the tenaculum orforceps, draw it inward from between the pillars of the fauces, and withscissors curved on the flat, or with the probe-pointed bistoury, or an ordi-nary bistoury with the point guarded by adhesive plaster, sever the tonsilfrom below upward. It is not necessary at first to remove the entire tonsil,since a curative influence is often established by an incomplete Fig. 733. qmse OIKlJAlIONS ON THE MOlllI. rjj;.- Amon;^ the tonsillotomcs in common iiso iiro MathiLus and Mackenzies. Iniisin^ the instrument the patient is phu^ed as hefore stated, and the ring ofthe instrument is adjusted around the tonsil witli the aid of the indexlinj^er; the tonsil is elevated by a teiuiculum, or by a special hook of theinstrument, and severed by pressing the blade against it. The IhsuJts.—Any undue luemorrhage can be controlled by ice, pres-sure, and astringents; actual cautery is rarely needed. In four instancesthe internal carotid artery has been wounded by recklessness in cutting thetonsils. Abscess of the Tonsil.—In opening abscesses of tlie tonsil and of thefauces great care should be exercised not to invade the tissue too deeply andendanger the internal carotid. Therefore, attention to the anatomy of thetonsil and its environments is important (i)iige 575). The blade of a scalpel,well guarded, except at the })oint, with adhesive pl
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