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October 3, 1908


JAMA. 1908;LI(14):1152-1153. doi:10.1001/jama.1908.25410140034004a

Since I demonstrated this method1 at the annual session of the American Medical Association, 1905, I have made a little improvement which is a small step toward the entire prevention of postoperative hemorrhages after intranasal operations.

In 1905 I reported 233 operations; in six cases I had to resort to packing. Since then I have on record ninety-three cases; but most of my records were burned in the great fire of 1906. At least thirty operations should be added, which would bring the percentage of failures down to less than 2 per cent. In five out of these six cases the hemorrhage occurred on the posterior end of the lower turbinal, which had been removed.

This is the danger point, from which we frequently see blood oozing, when all the other bleeding has been stopped; this oozing has to be stopped before any dressing is applied; I often use

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