100 PARTICULAE FRACTUKES. 



" A piece of soft but strong twine may be firmly tied around 

 a small bundle of the above agents, which should be sufficiently 

 large to fill the passage. The free end of the string should be 

 long enough to reach some little distance out of the nostril, 

 whereby the operator may be enabled to hold it firmly while 

 the rest of the passage is being plugged. 



" By this arrangement the whole of the plugging can be re- 

 moved at any time that may be deemed advisable, and there 

 will be no danger of any portion of it passing in a backward 

 direction through the posterior nares into the fauces. 



" There need be no apprehension about the horse's breath- 

 ing being interfered with, if one of the nasal passages only 

 is plugged ; but I need not say that both should not be so 

 treated, as the horse cannot breathe through his mouth." — 

 (Professor Varnell, in Fe^erma?'m?i, November 1866, pp. 875-6.) 



If this method should be found impracticable, and more 

 especially if the fracture is a compound one, the broken bones 

 should be raised from the outer surface by means of a strong 

 tenaculum or hook, which is easily introduced into the edge 

 of the fracture; the parts must afterwards be strapped, as 

 recommended above, and in all cases the patient must have rest. 



Should the discharge from the nose, which is always sure to 

 succeed the hsemorrhage in this kind of fracture, continue, and 

 become more profuse, foetid, curdled, or sanious, a search must 

 be made for any detached piece of bone which may exist in the 

 part ; when found, it must be removed, and the portions of 

 healthy bone in contact with it dressed with the dilute hydro- 

 chloric acid, as the mere contact with necrosed bone is apt to 

 cause a necrosed or carious condition of the edges in such 

 contact. 



Horses have been condemned for glanders while only suffer- 

 ing from the presence of loose pieces of fractured bone in the 

 nasal region, and it is maintained by some, that fracture of the 

 nasal bones is of itself sufficient to produce glanders; but I 

 cannot conceive how a disease due to a specific virus can arise 

 from a mere accident, although the discharge, ulceration, &c. 

 may closely resemble the specific disease. To remove foetor, 

 and to promote a healthy condition of the mucous membrane, 

 the nostrils may be daily syringed with very dilute carbolic 

 acid, solution of chloride of lime, Condy's fluid, or by iusufflatiou 

 of iodoform. 



