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Show OF TYING POLYPI OF THE NOSE. or TYING POLYPI or THE nose. 1.33 thrusting the Wire back into the throat, the fingers are pushed beyond the pendulous tumour, and hooked up behind it; and by gently pulling on the wire with the left hand, the noose is carried quite over the tumour, as I have here represented and pulled up close to its root. I freed the nostrils entirely, in a few days, of the polypi', without pain or inconvenience, by merely fixing the instru‘ ment one night, and in the following day introducing the / handles, and twisting the tumour off, bringing it or its membranes away without hmmorrhagy. By persevering in this way, a young woman got entirely well; whereas, had I wrought and twisted the tumours and bones away, luemorri , hagy, a necessity of using plugs, and foetid discharge would KL/// //l.% / have been the inevitable consequence. - \ Wt" mfg/fl ‘ 0F TYING THIS POLYPI. "l‘nn small double canula, fig. 3, is the best instrument: 01' a single tube may be used ; or a strong wire, with a ring at one end. In the country, a blow-pipe, a female catheter, 01‘ silver tube of any kind will serve. The noose should be made Now the ends of the wire are put into tubes, and the instrument passed along until it pushes against the fore part of the root of the tumour, and has drawn the noose of the wire of silver wire; or silver wire, with catgut twisted round it, 01‘ ligature tight around the root. as by twisting the tubes, the wire may break. Having given such a turn to the wire, that when passed ing it about the wings of the nearer end. along the floor of the nostril, it may turn down behind the operation that must be done quickly, while we are about it. veluni paiati, it is introduced into the nostril of the side dis eased; and when it appears in the throat, it is taken hold of by forceps, or a blunt hook, and pulled through into thG month. It is then fixed by twist- If the polypus is large, there is no difficulty; but it is an The patient's breathing is suspended, and his eyes are pushed out, and the face turgid, There is a kind of dexterous boldness required in the operation. I have seen many sur~ And now the wire, as it passes backwards from the nostril, it; won in the throat, and is to be seized, and spread upon the goons of good experience and sound judgment, fail in it. I have seen the assistant noose a polypus ; undo it again ; dcmonstrate how it was to be done by the surgeon, in public, paint of the fore and middle finges of the right hand : then Nothing, however, followed the attempts of the public opera‘VUIJ l. "T |