A text-book on diseases of the ear, nose and throat . solves itself into removal by cutting instruments or by destruction of the mass in situ. The former requires various forceps, of which there are many varieties, snares, and 648 TUMOJRS OF THE LARYNX. 649 guillotines. lu many cases the snap-guillotine serves admirably. For-cerps are sometimes used to crusli the growth, with a view to its sub-sequent disappearance by absorx)tion. Small sessile growths may bedestroyed by either chromic acid or the galvano-cautery. Lennox Browneregards the use of chromic acid as attended by risk out of all prop
A text-book on diseases of the ear, nose and throat . solves itself into removal by cutting instruments or by destruction of the mass in situ. The former requires various forceps, of which there are many varieties, snares, and 648 TUMOJRS OF THE LARYNX. 649 guillotines. lu many cases the snap-guillotine serves admirably. For-cerps are sometimes used to crusli the growth, with a view to its sub-sequent disappearance by absorx)tion. Small sessile growths may bedestroyed by either chromic acid or the galvano-cautery. Lennox Browneregards the use of chromic acid as attended by risk out of all proportionto any i)ossible chance of benefit, while as to the galvano-cautery he re-iterates his statement of twenty years ago, that it is a dangerous instru-ment to use below the level of the epiglottis. It is evident that the shape,size, and location of the growth will determine the choice of the meansof removal. Ordinarily, in adults at least, these operations are per-formed under local anaesthesia. In children general anaesthesia is neces- FiG.
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