Interstate medical journal . Fig. Fig. 2. The instrumentarium for the operation has already assumed enor-mous proportions. Almost every operator has devised some instru-ment for which special advantages are claimed. In reality few instru-ments are required. The separation of the muco-perichondrium has re-ceived much attention. If the first incision has been made through themuco-perichondrium no difficulty will be experienced in separating it 458 SAUER. from the cartilage. Great care, however, must be exercised in cuttingthrough the cartilage, in order not to cut through the muco-perichon-d
Interstate medical journal . Fig. Fig. 2. The instrumentarium for the operation has already assumed enor-mous proportions. Almost every operator has devised some instru-ment for which special advantages are claimed. In reality few instru-ments are required. The separation of the muco-perichondrium has re-ceived much attention. If the first incision has been made through themuco-perichondrium no difficulty will be experienced in separating it 458 SAUER. from the cartilage. Great care, however, must be exercised in cuttingthrough the cartilage, in order not to cut through the muco-perichon-drium on the other side, otherwise a permanent perforation may be theresult. After separating the cartilage from its coverings, which may bedone with an ordinary grooved director, however, the Killian or Hajeckelevators facilitate matters. The cartilage can be removed in one piece-by the swivel knife devised by Ballenger, which has been a great aidin the operation, as there is much time saved by its use. The removalof the bone is not
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
