bb DISEASES OF THE AIR-PASSAGES. 



nasal bone, beginning at its apex, which will give a flap 

 convenient to turn down. 



A BLEEDING FUNGOUS POLYPUS might require being de- 

 tached by the forceps or by torsion. In operating thus, 

 let there be no pulling at the root. The pedicle will then 

 give way at the weakest part, and there will follow no 

 hemorrhage, no lacerated membrane or detached bone, to 

 produce malignant ulcer or cancer or glanders. Simple 

 excision is never permitted, on account of the impossibility 

 of stopping the bleeding without the cautery, whose appli- 

 cation within the nose is both difficult and dangerous. 



Vatel suggests plugging the nostril to arrest any he- 

 morrhage after the operation^ and, instead of slitting up the 

 nostril, to trephine the bone. To this latter, however, there 

 are many serious objections. 



GoHiER relates a case of a horse who had in his left 

 nostril a polypus as large as a turkey^s egg, of a greyish 

 colour and glossy surface, too high up to be reached with 

 the finger, which prevented his breathing on that side, and 

 gave rise to offensive effluvium, and to enlargement of the 

 lymphatic glands, but not to roaring. Gohier slit up the 

 nostril, and, with an iron rod with a notch upon its end, 

 contrived to enclose its neck in the slip-knot of a ligature ; 

 in drawing this tight, however — which was of necessity 

 done in an oblique direction — the pedicle was cut through. 

 Little hemorrhage succeeded, although the tumour weighed 

 twenty-four ounces. The slit nostril was sewn up, and cold 

 water injected into its cavity. A copious discharge from 

 both nostrils followed, with swelling of the lymphatic glands. 

 This was met by proper treatment, and in fifteen days the 

 patient was sent out of the hospital. Since then Gohier 

 heard that the running had reappeared. 



Chabert, in his 'Veterinary Instructions,^ relates the 

 following : — A horse in a cavalry regiment had been 

 gradually losing flesh, and was quickly and painfully blown 

 at every little exertion. Fetid matter began to run from his 

 off" nostril, and the gland correspondent enlarged. The 

 horse was supposed to be glandered by the sergeant farrier, — 



