The Medical and surgical reporter . drying cavitiesof teeth before filling. Even that althoughfar superior to ham fat, owing to the factthat when saturated with any fluid suchas blood it swells to thrice its size, therebyexerting pressure and does not present theporous surface for the entanglement ofthe newly-formed capillaries just like theham fat has the great disadvantage com-mon to all plugs that ft fills up the nasalchamber into which it is introduced,allows the blood to flow backward into theposterior asal cavity and around forwardthrough the other nasal chamber so thatthis also must be


The Medical and surgical reporter . drying cavitiesof teeth before filling. Even that althoughfar superior to ham fat, owing to the factthat when saturated with any fluid suchas blood it swells to thrice its size, therebyexerting pressure and does not present theporous surface for the entanglement ofthe newly-formed capillaries just like theham fat has the great disadvantage com-mon to all plugs that ft fills up the nasalchamber into which it is introduced,allows the blood to flow backward into theposterior asal cavity and around forwardthrough the other nasal chamber so thatthis also must be plugged up tight andboth plugs have to remain until the sur-geon can again visit his patient and re-move them. To avoid this difficulty and annoyingwaste of time on the part of the surgeonI have for the last few years employed aware clamp, which is nothing more or lessthan a patent clothes-pin made of wire,slightly modified to suit the purpose forwhich it is to be used, and of which theaccompaning cut gives a fair This epistaxis clamj^ isnothing but a piece of wire,moderately stout, twistedat its upper end into aring which gives the neces-sary pressure to the ex-tremities by its spring. Theshanks of the clamp arebent in such a fashion thatthey separate near the ring,but come close togetherat their elbows, which latter are furnishedwith metal plates for the purpose of pre-venting the sharp point of the elbow fromproducing unnecessary pain when below these plates the shanksare bent outward at a sharp angle for thepurpose of giving the necessary hold tothe finger of the surgeon applying theinstrument. When this instrument is tobe used the bleeding spot should be deter-mined as nearly as possible. A pad ofabsorbent cotton, covered by a bandage orstrip of muslin or other material shouldbe placed over the bridge of the nosebelow^ the nasal bone like a saddle isplaced on a horse, and the clamp adjustedin such a way over the pad or saddle thatby it


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Keywords: ., bookcentury1800, bookdec, booksubjectmedicine, booksubjectsurgery