62 
FOREIGN BODIES AND TUMOURS IN THE NOSTRILS. 
produces overflow of tears. When the condition becomes further 
developed, the nasal or superior maxillary bones or the hard palate appear 
swollen. Sometimes the growth even extends through the plate of bone. 
More exact information as to the nature of the case is obtained on 
examination with a speculum, with a sound, or merely with the finger. 
Polypi sometimes become so long as to protrude from the nostril. Where 
they start from high in the meatus, the earliest symptoms are the 
before-mentioned asthma nasale and swelling of the nasal bones, but 
if their origin is low down, they may be felt and even seen soon after 
dyspnoea begins to be apparent. When in the latter position they usually 
grow from the outer wall of the meatus, just over the base of the false 
nostiil. 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 pressed on 
the ground. In the former pentastomum tsenioides produces attacks 
suggesting rabies. Several cases of tumour formation in the nasal 
cavities m dogs are described at length in Cadiot and Dollar’s “ Clinical 
Veterinary Medicine and Surgery,” pp. 819 et seq. 
Treatment, to be successful, requires the removal of the foreign bodies 
or new growths. Necrosis of the turbinated bones and such complica¬ 
tions as the growth of sarcomata 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 inter-maxillary 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! 
ie growth may then be removed either with the fingers, with a wire 
snare or with the ecraseur. But if the polypi are higher placed, the 
nostril must be trephined. Difficulty is often experienced in diagnosis 
the seat of the growth; this may sometimes be effected with a loim 
sound or with Gunther’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 
po ypus is broad, a curette is often of considerable service, but whatever 
the means employed, the principal object is to completely remove the 
giowth. If bleeding prove alarming, the head may be placed in a pendent 
position, or the superior meatus or the upper part of the posterior naris 
