Surgical therapeutics and operative technique . s the adenoid mass at asingle movement. Ablation of Adenoid Vegetations^—First Stage : Introduction of theForceps.—The ringed gag is placed on the right side, the adenoid vegeta-tions are recognized with the index-finger, and we plunge the closed gouge-forceps above the level of the soft palate, and open its blades when broughtinto contact with the pharyngeal orifice of the Eustachian tube. The forcepsthen grasps the whole of the adenoid tissue at a single movement (Figs. 236and 237). Second Stage : Removal of the Adenoid Mass.—The proper placing
Surgical therapeutics and operative technique . s the adenoid mass at asingle movement. Ablation of Adenoid Vegetations^—First Stage : Introduction of theForceps.—The ringed gag is placed on the right side, the adenoid vegeta-tions are recognized with the index-finger, and we plunge the closed gouge-forceps above the level of the soft palate, and open its blades when broughtinto contact with the pharyngeal orifice of the Eustachian tube. The forcepsthen grasps the whole of the adenoid tissue at a single movement (Figs. 236and 237). Second Stage : Removal of the Adenoid Mass.—The proper placing of theforceps is verified by the left index-finger. It is necessary in closure of theblades to expose the pearly fibres of the pharyngeal aponeurosis. We thenwithdraw the instrument with a slight movement of rotation, while guiding itwith the index-finger; and taking care, as is easily done, not to tear off aflap of the mucous membrane. The haemorrhage is insignificant (Figs. 238and 239) 128 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE. Fig. 238.—Ablation of Adenoid Vegetations of Naso-Phartnx with the Gouge-Forceps *^ - Introduction of the forceps.
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