The Journal of laryngology and otology . scope. He then removed Rhinology, and Ofolooy. 433 it by means of Mackenzies tubular forceps, t,M\ ing the patient completerelief from the severe pain and discomfort she had felt for a this experience he deduced the following practical points :— 1. To examine carefully the hngUal tonsil, no matter how low downthe patient may think the bone is situated. 2. To use the mirror in the other hand if the foreign body is notrevealed by its use in the one usually employed. 3. To exercise pressure in the submaxillary region while the patientphonates in
The Journal of laryngology and otology . scope. He then removed Rhinology, and Ofolooy. 433 it by means of Mackenzies tubular forceps, t,M\ ing the patient completerelief from the severe pain and discomfort she had felt for a this experience he deduced the following practical points :— 1. To examine carefully the hngUal tonsil, no matter how low downthe patient may think the bone is situated. 2. To use the mirror in the other hand if the foreign body is notrevealed by its use in the one usually employed. 3. To exercise pressure in the submaxillary region while the patientphonates in order to cause an impacted fish-bone to extrude from theinner aspect of the lingual tonsil. A Safe Nasal Douche. In view of the danger of exciting middle-ear inflammation by the useof the nasal douche, especially in cases in which the opposite nasal fossais too much obstructed to allow a ready efflux of the injected fluid. Grant devised a double-current nose-piece, the tube of exit lyingin the centre of the tube of It will be seen that should the fluid find any resistance in the nostrilit can find its way back by the exit tube. Moreover, a swelling of themucous membrane might obstruct the tube of entrance, but the other, fromits central position, would escape. As an improvised substitute Dr. Grant has used the following :—Thetip is cut ofif a number three or four gum elastic catheter, and the cut endis pushed through a very small slit cut in the side of an india-rubber tube(of about three-eighths of an inch in diameter), and about half an inchfrom its extremity. The india-rubber tube may be introduced into thenostril as the influx tube of a syphon nasal douche, and, as will be readilyunderstood, in case of excessive pressure there will be an escape throughthe catheter. He would confine the use of the nasal douche to cases of ozaena andcaries, substituting the coarse spray for it in all other forms of nasaldisease. A Safe Endo-Laryngeal Forceps. Dr. Dund
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
