TREATMENT 



Xo time should be lost in submitting a poll- 

 evil to radical treatment. The new case 

 should be lanced and the cavities irrigated 

 with antiseptics for a week or ten days and 

 then promptly operated upon. There will be 

 nothing gained by waiting longer, as the old- 

 er the case the more it will have damaged the 

 structures of the region and thus the more diffi- 

 cult it will be to cure. In cases found in the 

 phlegmonous stage and before the abscess has 

 burst we also recommend lancing and irriga- 

 tions as preparatory treatment. 



Subjects having unmistakable involvement 

 of the occipito-atlantoid articulation and all 

 those already showing nervous complications 

 should be left severely alone and pronounced 

 incurable. Weak subjects that do not exhibit 

 sufficient strength to withstand a major opera- 

 tion should likewise be left alone. These might, 

 however, be submitted to a restorative treat- 

 ment until it is thought advisable to interfere 

 fiu-ther. 



The Radical Operation for Poll-Evil 



Restraint. — Xo attempt should ever be made 

 to operate in the standing position, no matter 



