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My method of ascertaining who will require operative procedure, is to treat by the spray producers every case for a few days, giving from ten to fifteen treatments. From the effect of these applications, I judge whether or not the case will require severer measures. It is seen that I operate on as few patients as possible, because I fear the effects that will follow the formation of scar tissue in the nasal cavities. I do not wait until the pruritic season has passed away, but operate as soon as I find that the spray producers will not prove effective.
Relief by Surgical Measures.—This consists in the removal of the diseased, hyperæsthetic mucous membrane that covers the turbinated processes and portions of the septum nasi. This is best done by means of Jarvis's wire snare, or some modification of this valuable instrument.
I prefer this instrument to the galvano-cautery, because
RUMBOLD TF. SURGICAL METHODS FOR THE RELIEF OF PRURITIC RHINITIS (HAY FEVER).. JAMA. 1887;VIII(1):5–8. doi:10.1001/jama.1887.02391260005001a
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