OPERATIONS UPON THE NOSE AND ITS ACCESSORY CAVITIES By StCLAIR THOMSON, M.D., F.R.C.P. (Lond.), F.R.C.S. (Eng.) Professor of Laryngology and Physician for Diseases of the Throat, King’s College Hospital, London. CHAPTER I GENERAL CONSIDERATIONS IN REGARD TO OPERATIONS UPON THE NOSE AND NASO-PHARYNX Sources of Illumination, 569. Local Anæsthesia, 572. Local Ischæmia, 573. Bleeding and its Control, 574. The Protection of the Lower Air-passages from the Descent of Blood, 576. Shock, 577. Sepsis and other Complications, 577. Asepsis, 578. After-treatment, 578. Cleansing the Nose, 579. After-results, 580 569-580 CHAPTER II OPERATIONS FOR INJURIES, DEFORMITIES, FOREIGN BODIES, AND RHINOLITHS: OPERATIONS UPON THE TURBINALS: OPERATIONS IN SYPHILIS AND LUPUS Operations for Injuries to the Nose--Fractures of the Nasal Bones and Septum, 581. For Congenital Occlusion of the Nostrils, 582. Removal of Foreign Bodies, 584; of Rhinoliths, 586. Operations upon the Turbinals, 586; _upon the Inferior Turbinal_, 587; _upon the Middle Turbinal_, 592. For the Results of Syphilis--_Sequestrotomy_, 594; _Post-syphilitic Adhesions of the Velum_, 595. For Tuberculosis, 596 581-596 CHAPTER III OPERATIONS UPON THE NASAL SEPTUM For Deformities--_Removal of Spurs_, 597; _Perforating the Septum_, 598. For Simple Deviation, 598; _Gleason-Watson Operation_, 599; _Asch’s Operation_, 599; _Moure’s Operation_, 599. For Combined Bony and Cartilaginous Deformity--Submucous Resection, 601. Complementary Operations, 610. For Perforation of the Nasal Septum, 611. For Abscess, 612. For Hæmatoma, 612 597-612 CHAPTER IV OPERATIONS FOR REMOVAL OF NASAL GROWTHS THROUGH THE NOSTRILS: OPERATIONS FOR OBTAINING DIRECT ACCESS TO THE NASAL CAVITIES AND NASO-PHARYNX Removal by the Snare, 613. Removal by Forceps and Curettes, 615. Lateral Rhinotomy (Moure’s Operation), 618. Rouge’s Operation, 622. Combination of Moure’s and Rouge’s Operations, 625. Extension of Rouge’s Operation to allow of Access to the Maxillary Antrum, 625. Other Methods, 625 613-625 CHAPTER V OPERATIONS UPON THE ACCESSORY NASAL SINUSES