Wood's Medical and Surgical Monographs (1896) (14765197552)

Identifier: woodsmedicalsurg0503newyuoft (find matches)

Title: Wood's Medical and Surgical Monographs

Year: 1896 (1890s)

Authors:

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Publisher: New York

Contributing Library: Gerstein - University of Toronto

Digitizing Sponsor: MSN

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riorhypertrophies (or adenoid growths) about the orifice of theEustachian tube are better treated by galvano-cautery, butthey can also be removed by electrolysis. Electrolysis in Surgery. 853 Obstruction of the Eustachian Tube. The great success which followed the treatment of stric-ture of the urethra and other mucous passages by electrolysissuggested the idea that an obstructed Eustachian tube mightbe opened up by the same means. At the latter part of 1887the author had several bougie electrodes made with the objectof carrying this idea into practice.21 The instrument whichwas found most suitable consists of a vulcanite Eustachiancatheter and an electrical bougie (Fig. 25). The bougie ismade of a number of fine copper wires about seven or eightinches long, insulated by vulcanite to within an eighth of aninch of their ends. The ends of the wires are soldered into asmall nickel-plated metal cap. The bougie is small enough topass along the catheter and exceeds it in length by about one

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Fig. 25. inch. The handle end of the bougie is provided with a bind-ing screw, to which the insulated copper wires are also at-tached, for the purpose of connecting a rheophore from thebattery. On this end of the bougie an inch is marked off di-vided into eighths. Each eighth of the inch passes into thecatheter as one eighth protrudes at the other end. It is there-fore possible to tell, when the catheter is in the orifice of theEustachian tube, how much of the bougie is in the canal. Onthe catheter there is a metal ring, or some other mark, as onall catheters, to indicate the position of its end when it is beinginserted. Electrolysis of the Eustachian tube is performed in muchthe same way as the electrolysis of the other mucous passageswhich has previously been described. A pad connected withthe positive pole of a battery is moistened and placed at theback of the patients neck. The Eustachian catheter is thenpassed along the nostril and guided into the tube; the bougie, 854 Electrolys

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1896

University of Toronto

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