FOREIGN BODIES AND TUMOURS IN THE NOSTRILS. 309 



When in the latter position they usually grow from the outer wall 

 of the meatus, just over the base of the false nostril. This is a fact 

 to be remembered both in diagnosis and treatment. 



Dogs and cats with nasal growths sneeze and scratch, or rub the 

 nose with the paw ; sometimes they run along with the head in 

 contact with the ground. In the former, Linguatula tsenioides 

 produces attacks suggesting rabies. Several cases of tumour forma- 

 tion in the nasal cavities in dogs are described at length in Cadiot 

 and Dollar's " Clinical Veterinary Medicine and Surgery." 



Treatment, to be successful, requires the removal of the foreign 

 bodies or new growths. Necrosis of the turbinated bones and such 

 complications as the growth of sarcoma are frequently irremediable. 

 Foreign bodies can, as a rule, be seized and removed with a pair of 

 dressing forceps. Sometimes it is sufficient to wash out the nasal 

 cavity with a powerful jet of water. In men foreign bodies can be 

 removed by blowing forcibly into the opposite nostril. 



New growths, seated in the lower part of the nostril, may be 

 extracted with the help of the so-called polypus forceps or Leverett's 

 hooks (decapitating hooks). When somewhat above this, and 

 especially if on the outer wall of the meatus, they may be removed 

 thus : — An incision is made at the point of junction of the nasal 

 and premaxillary bones, on the inner side of the false nostril 

 parallel with the nasal bone, and the finger inserted to ascertain 

 the size and position of the polypus. The growth may then be 

 removed either with the fingers, a wire snare, or with the 

 ecraseur. But if the polypus is higher placed, the nasal roof must 

 be trephined. Difficulty is often experienced in diagnosing the 

 seat of the growth ; this may sometimes be effected with a long 

 sound, or with Giinther's catheter for the guttural pouch. Trephining, 

 if adopted, is better performed too high than too low. The growth, 

 if possible, is removed by blunt dissection or ligation. Where the 

 base of the polypus is broad, a curette is often of considerable service, 

 but whatever the means employed, the principal object is completely 

 to remove the growth. If bleeding prove alarming, the head may 

 be placed in a pendent position, or the superior meatus or the 

 posterior naris may be plugged with tow saturated with solution 

 of adrenalin chloride, which may also be applied to the mucous 

 membrane in order to check the flow of blood into the larynx. 

 But the tampons must be secured by strong tape, that they may 

 not fall into the pharynx and produce danger of suffocation. Under 

 such circumstances it is advisable to perform tracheotomy and 

 insert a tampon cannula. One of Moller's patients died from 



