By John P. Stewart (Eds.)
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Extra info for Logan Turner's Diseases of the Nose, Throat and Ear
Individuals vary greatly in the degree in which they suffer from an apparent blocking of the nose from septal deviation. In some in whom the obstruction is but slight there may be pronounced symptoms, while others make no complaint although one nostril is almost completely blocked. It is accordingly necessary to be guided largely by the subjective symptoms in deciding the advisability of operative interference. Deviations may be developmental in origin, in which case they present a C or S shape, or they may result from trauma.
The local application of the waters by inhalation or spraying has been much used at Continental spas and is now available at Bath (radio-active water) and Strathpeffer or Harrogate (sulphur waters). —Exposure of the body to sunlight or to the rays of a carbon arc lamp is a useful adjuvant to other treatment in nasal disease, but the use of the mercury vapour lamp for intranasal irradiation by quartz applicators has not met with such general approval. 35 CHAPTER 111 THE EXTERNAL NOSE, NASAL ORIFICES, AND SEPTUM INJURIES TO THE NOSE A DIRECT blow on the nose may cause fracture or dislocation of the nasal bones, and this is usually combined with fracture of the septum.
As a rule 2 drachms of the solution will amply suffice. The nasal cavities should be packed from below upwards, packing the inferior meatus from behind for wards in the first instance. At the end of half an hour the nasal mucous membrane is insensitive, and any of the above-mentioned procedures may be performed without discomfort either to the patient or the operator. Some operators prefer the method of trunk anaesthesia, which consists in the application of a strong cocaine solution to the points at which the principal sensory nerves enter the nose.
Logan Turner's Diseases of the Nose, Throat and Ear by John P. Stewart (Eds.)