On lacrymal obstructions, treated on Mr. Bowman's plan.

  • Teale, T. Pridgin (Thomas Pridgin), 1831-1923.
Date:
[1860]
Catalogue details

Licence: Public Domain Mark

Credit: On lacrymal obstructions, treated on Mr. Bowman's plan. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Name and Ago. Duration o Epiphora. me Miss T. (58 13. iiy. 138 Mrs. F. 36. Left side- Style had been worn for a year. Right side. Duration of Treat- ment, and Result. Epiphora 6 years; fistula a few days. Nearly well. The fistula healed up at the end of six months ; but it re- opons at the end of four or five weeks after the probe has been passed, from relapse of the epi- phora. Relieved. A few months since the right sac became distended and in- flamed. Canal slit up, and bulbed probes passed about eight times in six months. Remarks. Cured. The fistula healed in three or four days. The epiphora relapsed occasionally for a year. She has a temporary epipho- ra if out of health The style was at once removed, and treatment by prob- ing the nasal duct through the slit canaliculus adopt- ed. The probe is passed once iu six or eight weeks. A small abscess, which had formed outside the sac, was made to com- municate with it by passing a knife along the slit canal into tho interior of the sac, and incis- ing its wall from within. Acute inflammation of the sac tempo- rarily relieved by incision through the skin. When the swelling sub- sided, the canalicu- lus was slit up, and a bulbed probe was passed down the nasal duct. emarks on Table This series illustrates several phases istula lacrymalis, and augurs favourably of the result of i cases when treated by this new plan. In three of them os. 10, 11, and 15—the fistula was recent, having existed than a month, and was healed up within a month of the mencement of treatment by probing. In one only did fistula open out again, and that was shortly after it had id, and only for a few days. Since its second closure 3 haS ’een no relaPse- It appears, therefore, probable cases of moderately recent fistula and lacrymal abscess