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April 13, 1907


Author Affiliations


JAMA. 1907;XLVIII(15):1265. doi:10.1001/jama.1907.25220410041002a

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I think it will be generally admitted that the ordinary methods of packing the nasal cavities after operation are unsatisfactory. Packing with gauze is particularly so. It is difficult by this method to secure sufficient pressure in the proper place to control hemorrhage efficiently. By its capillarity the gauze acts as a drain, keeping up a continual oozing, which may even reach alarming proportions. It is continually getting down into the pharynx, causing retching and tempting the patient to remove it. Its removal is painful, interferes with healing and always occasions more or less secondary hemorrhage. The open method, with or without the application of collodion to the surfaces operated on, is dangerous and not to be considered as a routine measure.

The Simpson tampon of compressed absorbent cotton in various sizes is a fairly satisfactory dressing but for the difficulty attendant on its introduction or removal. It bends, swells

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