FOREIGN BODIES AND TUMOURS IN THE NOSTRILS. 307 



Prognosis is on the whole not unfavourable. In rare eases death 

 results from bleeding or suffocation, or at a later stage from septic 

 poisoning. So long as the fracture is subcutaneous and no great 

 displacement exists, complete recovery may be looked for. In severe 

 displacements, and especially where both bones are fractured, an 

 asthma nasale may remain. Caries of the turbinated bones sometimes 

 follows compound fractures. 



Treatment of subcutaneous fractures without much dislocation 

 requires nothing more than a few days' rest. Compound fractures 

 must, as far as possible, be antiseptically treated, loose splinters 

 of bone removed, and dislocated bones replaced. Where portions 

 of bone have been driven inwards, replacement is most difficult. 

 In large animals it may be effected by introducing into the nostril 

 the nozzle of a clyster syringe, and therewith pressing the bone 

 forcibly outwards, but this only succeeds in the lower part of the 

 nostril. In the upper part the superior turbinated bone lies in contact 

 with the nasal bone, and may easily be damaged by such manipu- 

 lation, necrosis resulting. Care must also be taken not to convert a 

 simple into a compound fracture. In some cases it is advisable to 

 trephine and raise or remove pieces of bone which have been pushed 

 into the nasal passage. 



It must not be forgotten that dyspnoea may be produced by 

 general swelling of the nasal mucous membrane, and that during the 

 first forty-eight hours tracheotomy may become necessary. The 

 owner should be warned of this contingency, especially when the 

 practitioner lives at a distance. In certain cases it may be advisable 

 at once to perform the operation. 



(C) FOREIGN BODIES AND TUMOURS IN THE 

 NOSTRILS. 



Foreign bodies occasionally obtain entrance to the nostrils of 

 horses and cattle, and remain for long periods in situ. With the 

 exception of Linguatula tsenioides, foreign bodies are rarely found 

 in the nasal passages of the dog. Sponges or similar objects have 

 even been inserted into the nostrils of horses in order to conceal a 

 discharge, such as that of glanders. Hermann found a wisp of straw, 

 Korner a piece of ribbon, in a horse's nostrils. In a horse Moller 

 had under treatment the lower meatus was discovered to be full of 

 food, which had entered through the alveolus of a molar tooth. 

 Dusseau, in making the autopsy of a horse, found in the nostrils 

 forty bean-like, hard white bodies, consisting of dried mucus and 



