This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
A recent experience in the closure of a small whistling perforation of the septum is the basis of this paper.
A woman, aged 50, had a small anterior perforation of the septum, approximately 5 mm. in diameter. She had frequently picked her nose, causing crusts to form and recur. As the crusts would form, she would pick them away. This she continued to do until she had caused a true perforation.
Because the insertion of ivory into the submucous space of the septum has been of value in the successful treatment of atrophic rhinitis, we considered its use in this case. We therefore pursued the following plan of procedure: An incision of the anterior mucous membrane, which is usually used in submucous resection of the septum, was made. The mucous membrane was carefully dissected away from the cartilage. At the same time, the edges of the perforations were