Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
_Treatment._ The horse having been cast with the diseased side uppermost
and the head turned to the light, the tumor is seized with the fingers,
the forceps, or hook, and drawn gently outward. The chain of the
_ecraseur_ may be passed over it and slowly tightened upon the pedicle
until it is cut through. This will usually obviate any laceration of the
turbinated bones and consequent bleeding. In case of serious hæmorrhage
check by cold water, ice, the actual cautery, or by plugging. Polypi
with a broad base may be removed with a prob-pointed knife, curved on
the flat, and furnished with a long handle. The mass is seized with a
vulsella and detachment made by passing the knife with the concave side
toward the tumor. In cases where the tumor cannot be seen or reached
some have resorted to slitting up the outer wall of the nostril as far
as the angle of union of the nasal and maxillary bones, care being taken
to make the incision outside the upper end of the cartilage of the ala
nasi. If too high to be satisfactorily reached in this way the nasal or
frontal bone may be trephined over the body of the tumor as indicated by
the flatness on percussion, and the operation performed through the
opening thus made.
II. =Actinomycosis.= Though much more common in cattle than horses, yet
the occasional occurrence of this in the face of the solipede must not
pass unnoticed.
III. =Sarcoma= and =Carcinoma.= These are found growing from the
periosteum, or even starting in the cancellated tissue and projecting
into the nose, where they give rise to symptoms like those of fibrous
polypi. Being much softer in texture and more liable to ulceration and
degeneration they are likely to cause a much more offensive discharge.
There is also more tendency to the implication of the submaxillary
lymphatic glands. The only treatment is surgical and recurrence is
always to be feared. (See Diseases of the Orbit.)
IV. =Fatty Tumors= of the nose are described by Röll and Gurlt as
existing on the septum and in the sinuses. Being simple, they can be
removed with great confidence as to nonrecurrence.
V. =Osseous Tumors of the Nasal walls.= These are described by Röll as
osteophytes in the maxillary sinus in chronic catarrh, and by Gamgee as
osteomata attached to the outer wall of the nasal chamber, which had to
be detached by saw and bone forceps. I have found these latter of a soft
porous structure easily detached by the knife, and in other cases dense
and requiring, chisel, saw and forceps. In one instance the tumor grew
from a dense hypertrophy of the maxillary bone which could not be
entirely removed because the molar alveoli were implicated.
VI. =Cysts= named by Röll and others as present in the mucosa of the
ethmoid cells in solipedes often contain larva of the strongylus
armatus.
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