The diagnosis and treatment of chronic nasal catarrh : three clinical lectures delivered at the College of Physicians and Surgeons, New York / by George Morewood Lefferts.

  • Lefferts, George Morewood, 1846-1920.
Date:
1886
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and treatment of chronic nasal catarrh : three clinical lectures delivered at the College of Physicians and Surgeons, New York / by George Morewood Lefferts. 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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    uded by an irregular, grayish or whitish, sessile tumor, which pro- cts outwards into the free space of the pharynx (fig. 29). ■ Jarvis’ ecra- -straight and curved. Fig. 29. Excessive hypertrophy of the tissues covering the posterior extremities of both inferior turbinated bones. Owing to its peculiar position it cannot be safely reached and destroyed by any caustic method; removed it must be to cure the patient. The small ecraseur already mentioned, and here shown (fig. 30), affords a satisfactory and efficient means for its entire extirpation. The instrument is passed through the nasal passage upon the affected side, the size and location of the growth having first been carefully studied by means of the rhinoscopic mirror, and the form of the wire loop arranged accordingly, and no great difficulty will be expe- rienced in ensnaring it. Slight traction on the in- strument and a few turns of the milled nut will now receive it firmly in the loop, and the mass is then slowly cut through by tightening the wire (fig. 31). Pain is avoided, if the cocaine has been thoroughly used to cause anaesthesia, and the hemorrhage is never such as to cause any apprehension. (See also page 48.) This little operation alone, if judged by its results, constitutes one of the most marked advances of recent rhinoscopic surgery.