File:Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value (1910) (14781309805).jpg

Identifier: bismuthpasteinch00beck (find matches)
Title: Bismuth paste in chronic suppurations, its diagnostic importance and therapeutic value
Year: 1910 (1910s)
Authors: Beck, Emil G., 1866-1932
Subjects: Bismuth
Publisher: St. Louis, C. V. Mosby company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ed with bismuth paste No. 1. The endsof these gauze strips are allowed to come out through thegingivo-labial margin after most of the incision has beensutured. The nasal tampon is removed, and the patientremains lying on the side of the operated antrum to pre-vent the paste from escaping. The subsequent treatmentof the cavity filled with gauze strips is to remove them inabout two or three days, and either refill with similarstrips or inject bismuth paste No. 2. (It should be re-membered that the paste is to be used in fairly cold orsemi-solid consistency in this procedure.) After the in-jection with the paste, drainage is discontinued and thewound allowed to close. Recently Citelli1 has made several experiments on ani-mals in filling their frontal sinuses with the Moorhof-Mosetig plug, and subsequently tried it on some chronicsuppurative sinuses in the human, with the idea of oblit- 1 Citelli: International Centralblatt der Ohrenheilkunde, April, 1910. NOSE, EARS, MASTOID PROCESS. 213
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Pig. 80. Radical operation on antrum and filled with paste No. 2. A, antrumfilled; B, gold tooth filling. 214 BISMUTH PASTE IN CHRONIC SUPPURATIONS. erating these cavities. No definite data are given as toresults. In chronic suppuration of the sphenoid sinuses the bestone can do is to remove as much of the anterior wall aspossible and curet the diseased mucous membrane. Theobliteration of this cavity is impossible, as the retentionof the paste is difficult, but it can be materially reducedin size by packing it with gauze impregnated with bis-muth paste. As to the ethmoid labyrinth, when chronic suppurationis present within it, there is no question that the completeexenteration of every cell insures the best chances for apermanent cure. Unfortunately this is not possible inthe majority of instances on account of the anatomicalconditions. When, however, during this complete exen-teration at the time of operation an injection of bismuthpaste is made as a primary dressing (as described in

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