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Show L36 or ccrrmc on: THE rorrrns. POLYPUS IN THE EAR. or wire, and direct its application. The instrument 3, (see Polypus of the \Vomb), is used for this purpose : but the better assistant is a small pair of forceps, which we can very easily manage : they catch hold of the ligature or wire, which still running loose in the points of the forceps, can be directed, and made to encircle the base of the tumour. Before concluding, I cannot omit the mention of the cases published by Mr. Whately; and to raise my feeble voice against the practice of cutting the roots of the polypus with a thrown forward into the month by the action of vomitingWhen this is the case, it is difficult to throw the noose under the lobes of the tumour, without considerable dexterity. The noose must be kept wide expanded in the fauces, and then the patient being made to vomit up the tumour, by the compression of the fauces, it is thrown into the mouth, and of course through the noose : then the cords in the noose being drawn. the noose is brought up to the very root of the tumour. POLYPUS OF THE EAR-r knife, or tearing them away by forceps introduced through the mouth. Far from the success of these cases deterring me which I have seen. I have witnessed also after a series of de- feats, the tumour at last noosed by a single motion of the hand. There is no tumour but an osseous one which will resist the THE usual way of relieving this complaint, is by tearing the This may endanger the memw tumour away with forceps. brane of the tympanum. The better way is to crush and do stroy them with small forceps, which are to remain in the pas» sage of the ear until the tumours waste under their pressure The forceps will be of the kind represented, fig. 1, p. 152. But when with the probe we can ascertain that these tur mours do not extend their roots to the membrane, they may be right application of the cord, or lace, or wire. torn away at once. from objecting to the practice, it is that which makes me speak of them, since without detracting from the merit of the sur- geon, I can express my sense of the impropriety of the practice. As far as I comprehend the case, it tallies with several Milli" As to pain, . 3.x J‘V*f' « 45% Au" that ceases with the successful application of the ligature ; and no pain of the ligature wiil outweigh a dozen or twenty un- successful attempts with the forceps. Mr. \\ hate}y attempted. to cut through the the tumour by casting a cord over it, and drawing the ends of the cord altcr« hatcly, so as to saw it through. This failed; but I cannot rccmnmcnd the practice of cutting either with the history or the cord. Suppose that the tumour should be half out through in this way, and any interruption occurs to its completion, the hamorrhagy will be terrible, and the tumour still hanging in the throat, we can not plug up the nostrils in a way to stem , -- -.-.- N ....., ..,»r~‘-.--. the blood. I must further observe, that I conceive, although the tumour hangs from the posterior nostril, and is seen in the throat, its roots cannot be seized by the forceps introducs cd into the mouth. The tumour has been sometimes so long, that it has hung into the fauces and (esophagus, and has only been occasionally |