A text-book on diseases of the ear, nose and throat . se of the growths with the polypus forceps. This barbarousmethod is an historical survival, and only to be accounted for by the factthat many do not master the simple technique of rhinoscopy. The oper-ation is performed without the aid of a mirror, the forceps being guidedby the hand without the help of the sense of sight, so that great damagehas been done to the nasal interior, whole turbinals having been tornaway and the septum fractured, while the slippery polyi)i have to a greatextent eluded the grasp of the blades, or have been removed
A text-book on diseases of the ear, nose and throat . se of the growths with the polypus forceps. This barbarousmethod is an historical survival, and only to be accounted for by the factthat many do not master the simple technique of rhinoscopy. The oper-ation is performed without the aid of a mirror, the forceps being guidedby the hand without the help of the sense of sight, so that great damagehas been done to the nasal interior, whole turbinals having been tornaway and the septum fractured, while the slippery polyi)i have to a greatextent eluded the grasp of the blades, or have been removed only in pain and bleeding caused by the method are extreme, and its conse-quences may be destruction of a large part of the physiologically impor-tant turbinals. A considerable number of cases of meningitis, as statedby Heymann, have followed the operation, even when performed byskilful surgeons. The operation most in favor at present is the removal of the polypiwith the cold snare. The galvano-caustic wire has its advocates, the Fig. !^N^SR»!W!^;gy;!;s5»^y^^ J Mcintosh cautery snare. searing of the base by the caustic heat having a supposed influence inpreventing recurrences. In some cases its use has led to addition, the apparatus required is complicated, while the heavycords and handle of the galvano-cautery impede the surgeons move-ments. As a preliminary to the operation with the cold snare or any othermethod, the parts are to be anaesthetized with a four per cent, solutionof cocaine. This is to be applied as follows. A long, fine nozzle of silveris screwed to a hypodermic syringe. This is drawn full of the cocainesolution, that is forced through the syringe, drop by drop, after the endof the fine tube has been passed up to the source of origin of the confines the anaesthesia largely to the parts on which the surgeonintends to operate, and reduces the amount of cocaine used to a snare should be armed with No. 5 steel
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Keywords: ., bookcentury1900, bookdecade1900, bookidtextbookondi, bookyear1901
