Politzer's text-book of the diseases of the ear and adjacent organs : for students and practitioners / translated by Oscar Dodd ; edited by Sir William Dalby.

  • Politzer, Adam, 1835-1920.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Politzer's text-book of the diseases of the ear and adjacent organs : for students and practitioners / translated by Oscar Dodd ; edited by Sir William Dalby. Source: Wellcome Collection.

    590/760 (page 574)
    (Löwenberg) in order to prevent the powder from entering the larynx. In the first case the powder remains more in the anterior part of the nose, in the latter the medicament is applied directly to the mucous membrane of the naso-pharynx and the posterior part of the nose. The medicines most frequently used in the form of a powder are : alum, finely powdered, or mixed with gum arabic or sugar of milk, tannin, oxide of zinc, calomel, argent, nitrate, boric acid, the recently recommended aristol and europhen, derivatives of iodine, which, besides their antiseptic properties, also act as a styptic. According to Bresgen, who prefers the argent, nitrate in the powdered form for chronic nasal catarrh, one should begin with a mixture of 0*05 arg. nitr., 1O0 amylum, and increase up to 1 in 10, only applying it to one side of the nose at once. Besides this, Bresgen recommends as being specially effective, sozoiodol-zinc in a mixture of 1 to 2 parts to 10 of iodol. To insufflate the powder, one should use a suitable powder-blower, or a rubber cannula which has a balloon attached and can be introduced deeply into the nose. With obstructions in the nose, the powder should be blown into the upper part of the pharynx with a bent hard-rubber tube introduced behind the palate through the mouth. When there is a large amount of hypertrophy of the mucous membrane of the turbinateds, simple astringents are not sufficient, and the hypertrophied parts must be systematically cauterized. The solid caustics most frequently used are : Argentic nitrate, chromic acid, zinc chloride (in concentrated aqueous solution applied in drops), and glacial acetic acid (Ehrmann). The simplest caustic application for the nares is a sound with a short groove on the side, in which the solid nitrate of silver or a few crystals of chromic acid can be melted. The crystals of glacial acetic acid are applied best, according to Bethi, with a flattened silver sound, the end of which is hollowed out like an ear-spoon. For chromic acid the small spatula ridged along the side is suitable (Krause), upon which the acid crystals are melted with an alcohol lamp. Through linear cauterization of the turbinateds, with the medicines named, the troublesome nasal swelling often disappears entirely, yet old hyper- trophies are often so obstinate that the galvano-cautery must be used. In cases of great tumefaction of the lining membrane of the naso- pharynx, in order to cause subsidence of the coincident swelling of the mucous membrane of the Eustachian tubes, I frequently per- form circumscribed cauterizations near the orifices of the tubes. I use for this purpose a wide, slightly curved vulcanite catheter, in