Canadian Practitioner Volume 24 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 Excerpt: ...After cocainizing the parts and coating the plug with vaseline, it can readily be placed in position. Once in, it will not only retain its place, but by elastic pressure, give a smooth and even support to the raw surface to which it is applied, as well as prevent that prof use granulation which otherwise would sometimes occur. At the samo time it does not retard the gradual extension of the new mucous membrane, while it moulds the tissues into a smooth and regular form. The stiff pliable rubber, although not so hard on the surface, nor possessing the polish of the vulcanite, is probably just as impervious to bacterial invasion. Sometimes, however, after prolonged use, it will acquire a peculiar unpleasant odor, in part arising from the rubber itself. In these cases new splints or tampons should be substituted for the old ones. As I have used the rubber plugs in a goodly number of instances, I might briefly quote the following ones from my case book. Case 1.--October, 1898. A boy, aged 6, was brought by his mother to the Western Hospital for treatment on account of entire inability to breathe through the right nostrii. This had been coming on gradually for several years, occasioned, the mother thought, by a fall on the face when two years old. There was nothing striking about the external shape of the nose. There was, however, a marked curvature of the cartilaginous septum to the right, with a longitudinal ridge at its base. Chloroform being administered, the ridge was excised. Then to lessen the resistance, I cut into the convex surface of curvature of the cartilage from behind forward. In one spot, although guarded by the little finger in the opposite nostril, the knife accidentally penetrated through the septum. Not heeding this, as it would probably unit...