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The Catarrhal and Suppurative Diseases of the Accessory Sinuses of the Nose

The Catarrhal and Suppurative Diseases of the Accessory Sinuses of the Nose


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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. 1916 Excerpt: ...unnecessary to sacrifice any portion of this structure.11 31!. See Lang, Kuttner, Wagener. Ver. Berl. lary. Gescll., Mar. 22, 1907. Fro. 100.--Mucosa of maxillary sinus removed, exposing tho bare bone of the lateral nasal wall. The chisel in position to remove the bony wall without injuring the nasal mucosa. Fio. 101.--The bony wall separating the sinus from the nose removed, leaving the nasal mucosa in siiu intact. Probe passed into the nose to show the line of incision to make the flap of mucous membrane from the nasal floor to the floor of the antrum. The idea of this flap is to form a continuous and permanent outlet into the nose by preventing granulations, as well as forming a base for the growth of epithelium into the sinus to replace that which was removed by the curette. 9. Flush out the sinus thoroughly with lukewarm saline solution, dry and pack loosely with iodoform gauze. The packing should be done in such a manner that one end protrudes from the nares, the other being in the depths of the sinus. Care must be taken that the flap of mucosa lies smooth and well pressed down, otherwise, in removing the gauze, it will be found crumpled up and an actual hindrance to drainage. Holding this flap in place is best accomplished by taking one yard of seamed gauze, drawing the end through the nose into the sinus. This is gradually packed (not too firmly, as this would increase the subsequent oedema) into the sinus until the cavity is tilled, the end is packed in the anterior nares. 10. Close the oral wound with two or three silkworm gut sutures. FiQ. 102.--The mucosa is incised and the flap turned into the antrum. The position of the inferior turbinate is scen through the opening. It is optional whether one applies these sutures or not, as perfect coaptatio...


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Product Details
  • ISBN-13: 9781151955913
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 150
  • Spine Width: 8 mm
  • Width: 189 mm
  • ISBN-10: 1151955914
  • Publisher Date: 22 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 281 gr


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