Diseases of the nose and throat . fixed at the distal end of the polyps, neoplasms of medium size, and hypertrophies the Sajoussnare meets every requirement. It will cut through not only the softparts but the bone itself, and is especially adapted to cases of mul-berry hypertrophy of the posterior end of the inferior turbinateand to enlargement of the middle turbinate in which it is necessaryto remove the anterior end of the bone (Fig. 26). In using the coldwire snare it is well to introduce as large a loop as the nostril willaccommodate. If the patient is willing to endure the
Diseases of the nose and throat . fixed at the distal end of the polyps, neoplasms of medium size, and hypertrophies the Sajoussnare meets every requirement. It will cut through not only the softparts but the bone itself, and is especially adapted to cases of mul-berry hypertrophy of the posterior end of the inferior turbinateand to enlargement of the middle turbinate in which it is necessaryto remove the anterior end of the bone (Fig. 26). In using the coldwire snare it is well to introduce as large a loop as the nostril willaccommodate. If the patient is willing to endure the pain the loopmay be adjusted before the use of cocaine, the inclusion of more CHRONIC RHINITIS. 53 tissue being thus assured. There is no danger of getting too muchtissue, as is true with some of the forceps devised for removing theturbinate bodies. The difficulty is to remove enough to relievestenosis, and for that reason it may be desirable in some cases, forexample, those in which the turbinate bone must be sacrificed, to use. Fig. 27. Casselberrys Nasal Scissors. serrated scissors like those proposed by Casselberry (Fig. 27), or theauthors cutting forceps (Fig. 28). In order to prevent hemorrhagethe loop of the snare should be tightened very gradually. In vascularposterior hypertrophies, which are apt to bleed profusely, a half houror more may be consumed in making the section. On the other hand,some patients prefer to have the snaring done quickly at the cost of alittle more pain and loss of blood. By following the latter course weare apt to be informed at once of the amount of the bleeding, whereasotherwise, we may send our patient away with a feeling of securityonly to be summoned later to check a violent secondary the introduction of cocaine episodes of this kind are said tohave been more frequent, probably owing both to reaction from thetemporary hemostatic effect of the drug and to the more rapid workwhich the local anesthesia permits. The electric ca
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Keywords: ., bo, bookcentury1900, bookdecade1900, booksubjectnose, bookyear1903
