File:An American text-book of the diseases of children (1895) (14595739888).jpg

Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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es of persistent haemor-rhage. The instrument therefore conduces to safety by virtue of greater pos-sible precision in operating. It is less formidable in appearance and is easy touse. No tongue-depressor is necessary, the body of the tonsillotome answeringthis purpose, at the same time that the vulsellum prongs grasp the tonsil todraw it from its bed into the ring of the tonsillotome. The proper line or point for abscission I believe to be close to the base ofthe gland, but not so close as to constitute a total extirpation. A stumpshould be left, but one not much larger than the normal gland, and not of suf- DISEASES OF THE PHAMYNX AND NASO-PHAMYNX. 441 m or widely the jiillars of t: A >n would Beem in. ily hazardous on account of difficulty of rrhage occur, and I cannot think thath prone to occur ai ly stated, than . when a portion of the gland is left, only the cortical layer being renMH : the growth is common. \ try large and densely fibr s sila in older children are best rem .
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The Authors Method of Tonsillotomy. I 7 the galvano-cauterv snare, since they are especially apt to bleed if cut.and are difficult to abscise by a cold wire. In rare instances haemorrhageeven then occurs, either primarily when the wire is overheated, or second-arily on the separation of the slough. The chief objection to the methodfor general use is the intense inflarun : the fauces which is liable to follow it. This can be. in part, but not wholly, obviated if • - areful not 1 - nge the pillars, which, however, ar-r not e rily avoided in the useof the cautery snare. To this end. Dr. Jonathan Wright has adapted theframe of the Mackenzie tonsillotome to galvano-cauterv purposes by substi-tuting for the steel blade a wire mounted on compre— er and to be con-I with a battery.( nsi :on of this subject would not be complete without referencethe views of Dr. Harrison Allen of Philadelphia, as advanced in a recentbefore the American Laryngologies! Association. He believes •• that asi

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