OPERATION FOR COMBINED BONY AND CARTILAGINOUS DEFORMITY
Submucous Resection (Window operation)
This is the most perfect operation we at present possess for the cure of deformities of the nasal septum. It has largely supplanted those already outlined; it is suitable for the most extreme degree of deformity: and it will secure complete relief to the symptoms produced, whether they consist of stenosis of the air-way, obstruction to discharge, or reflex effects.
The design of the operation is to excise all obstructing cartilage and bone, with any projecting spurs or ledges, while preserving intact the mucous membrane on each side. It has been brought to its present degree of perfection chiefly by the work of Killian and Freer.[57]
Indications. The special indications of this operation would appear to be:—
1. Cases where it is desirable to establish normal nasal respiration and remove mouth-breathing, with its numerous consequences.
2. Correction of the disfigurement caused by the lower end of the quadrilateral cartilage projecting into one nostril.
3. Cure of headaches or reflex neuroses of nasal origin.
4. The relief and treatment of Eustachian catarrh.