Identifier: textbookondiseas00burn (find matches)
Title: A text-book on diseases of the ear, nose and throat
Year: 1901 (1900s)
Authors: Burnett, Charles H. (Charles Henry), 1842-1902
Subjects:
Publisher: Philadelphia and London, J. B. Lippincott company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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the loopmay be turned nearly at right angles to the canula, so that it can beplaced over the polyp without the canulas interfering with a view of theoperation. Now a gentle traction on the trigger will draw the loop intothe canula and constrict the pedicle. The polypus is almost always re-tained in the tightened loop and is removed with the instrument. If it isnot, it can be syringed from the ear or drawn from it with slender forcepsor a cotton-holder. If there is another polyp in the ear it will be revealed after theremoval of the first, and is to be treated in the same way. As it liesdeeper, it will require more care and skill to snare the inner one. Moreor less hemorrhage follows the removal of aural polypi. This is veryslight—a few drops—in the removal of small ones. When they are as CHRONIC PURULENT OTITIS MEDIA. 187 large as a large pea, or still larger, sometimes from a fluidrachm to afluidounce of blood may be lost. In any case this can be quelled by hot- FiG. 84. Fig. 83.
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Polypus snare. Polj-pus hook. water injections into the ear. After the bleeding has ceased and the earbeen cleaned, search should be made for the former attachment of the 188 DISEASES OF THE EAR. polyi^us. When this is found, if it is large, it should be bitten off withtweezer-like forceps, or ^jaws made to work in the foreign-body forceps of the Sexton pattern (Fig. 85). If it is too smallFig. 85. to seize in any way, it should be touched with chromic acid in the manner already described (page 184).Tweezer forceps. After the point of attachment of the polyp has been carefully touched with chromic acid,some antiseptic powder, preferably that composed of boric acid and calen-dula (page 182), should be blown into the fundus of the canal, and theear let alone for twenty-four hours. The next day the ear should beexamined, and, if the powder is found to be dry in the fundus of thecanal, it should be let alone until the next day, or until discharge reap-pears. Sometimes this does not reappe

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