To prepare a case for treatment, I always first thoroughly irrigate the
nasal cavities with some antiseptic fluid, using the post-nasal syringe.
The solution that I most frequently use is Electrozone one part, and
tepid water four parts. Then an application of a four per cent. solution
of cocaine is made to the location about to be treated, simply to
prevent the little pain which accompanies the introduction of the
electrode.
The electrode I use is a slender needle about the size of an ordinary
darning needle, of suitable length for easy use on the part selected,
and I insulate it by dipping it in shellac and laying it away until it
is perfectly dry, then scraping away the insulation as far from the
point as it is calculated it will be impaled into the tissues. It is
fastened into an ordinary needle-holder and connected with the negative
pole of the battery, when it is introduced into the tissue at the point
selected. The patient is then given the sponge electrode connected with
the positive pole of the battery and is told to grasp it firmly, and the
current is slowly turned on until the meter registers from three to five
ma., which current is allowed to remain stationary for about five
minutes, unless the patient is very nervous, when three minutes should
be the limit.
The current is now turned off as gradually as it was turned on and the
needle carefully removed. I do not attempt a second treatment at the
same point until a week has expired, and in some cases two weeks can be
permitted to go by before the shrinkage due to the electrolysis has
subsided. The stronger currents have been tried, but the strength I have
used and given here acts much more pleasantly and gives equally good
results.
During the summer just past I had the opportunity of noticing the
reduction of an enormously hypertrophied inferior turbinate in a most
unexpected manner, which I am glad to relate at this time.
A lady of about fifty years of age, who was stopping at the hotel at
which my family and myself were located, came to me one day to ask my
opinion as to her eye and nose. She had had a stricture of the nasal
duct for a number of years, which had been duly dilated several times,
and for a considerable time had had a dacryocystitis which annoyed her
greatly, and from which she was able to press a large amount of mucus
and pus from the canaliculus.
Public-domain text, read in full here on John Shaqi.
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