Diseases of the ear, nose, and throat, and their accessory cavities
Seth Scott Bishop
Paperback
(RareBooksClub.com, March 6, 2012)
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1897 Excerpt: ...to considerable proportions until pressure is produced on the opposite turbinal or adhesion to it occurs, forming a synechia or bridge across the canal. Figures 130 and 131 show such a condition. In Fig. 130 the probe is inserted to the point of adhesion between the exostosis and the inferior turbinate bone. The contour of the latter will be seen in Fig. 131 to have been altered, by the pressure, from a convexity, like the opposite one, to a concavity. The septum is deflected toward the exostosis. These growths arise from the periosteum and may occasion no inconvenience if no pressure is exerted on surrounding tissues, but, when they impinge on the posterior portion of the inferior turbinal, reflex asthma may result. They are hard, immovable, light pink, and bleed easily on pressure with the probe (Plate IV). Treatment.--Osteomata and exostoses should be removed when they have attained to such a size as to occasion symptoms of their presence. The former may be removed by the snare, strong saw-tooth scissors, curette, or forceps; the latter by the saw (Fig. 139). A strong solution of cocaine must be used, preferably 20 per cent. The electric trephine and drills are convenient for this purpose, and the dental motor also is effective. Rhinoliths. Deposits of the salts of the nasal secretion are infrequently found in the nasal chambers and are, in effect, foreign bodies. They are generally found in the anterior part of the cavities, and are of irregular shapes and sizes and of gray or dark color. The discharges envelop them and obscure their identity until washing reveals their nature. Rhinoliths may develop to such a size as to obstruct the nasal passages and give rise to a foul discharge and epistaxis. The treatment consists in their removal. Sarcomata Of The...