Buffalo medical and surgical journal . ixed in its new CROOKED AXD OTHERWISE DEFORMED XOSES. position. If the septum is bent to one side and the surgeonattempts to alter it by forcing it over and holding it in positionby plugs, the patient will have to wear the plugs for patients may occasionally be seen going about the streets,and are noticeable because the string fastened to the plug isattached to the cheek by plaster. I do not believe that thesesimple measures will effect a cure except when the deviation isvery slight. I have forced the septum over by the dilatation ota laminaria
Buffalo medical and surgical journal . ixed in its new CROOKED AXD OTHERWISE DEFORMED XOSES. position. If the septum is bent to one side and the surgeonattempts to alter it by forcing it over and holding it in positionby plugs, the patient will have to wear the plugs for patients may occasionally be seen going about the streets,and are noticeable because the string fastened to the plug isattached to the cheek by plaster. I do not believe that thesesimple measures will effect a cure except when the deviation isvery slight. I have forced the septum over by the dilatation ota laminaria uterine tent put into the nostril, but the result was verytemporary. As soon as the plug is removed, there is a tendencyfor the resilient septum to resume its original position. There are several other ways of overcoming septal deformityand the consequent nasal occlusion. One of the old methods is tocut out a piece of the septum at the point of deviation, if thedeviation pertains to a limited area, so that breathing can go on Fig. Robertss Nasal Punch. through either nostril. An objection to this method is thatsometimes there occurs necrosis of the cartilage along the edgeof the opening. At other times there is a constant tendency tothe deposition of crusts thereon. I, however, do not think thatthe method is as objectionable as some have thought it. Theoperation is best done by the nasal-punch shown in the figure,which is a modification of that of Blandin, and acts better thanhis device, because it divides the mucous membrane on bothsides of the septum more readily and perfectly. Here is a pair of forceps, variously known as Steeles orSajous forceps, which cuts a stellate incision in the this means the septum is weakened, and can be pushed intoplace. If the deviation is very great, you may have to cut the 724 CROOKED AND OTHERWISE DEFORMED NOSES. septum in many places with these stellate forceps, and make itquite flexible. It then becomes almost as soft as wet ca
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