Lectures on the American eclectic system of surgery . opening: or it is bet-ter to let it enter the parotid duct a line or two back of theopening, if practicable. Insert a silver or gold tube from themouth into the duct, so as to guide the saliva into the mouth.The tube should be long enough to pass for an inch into theduct, so that it will not be liable to come out into the mouth. The Fistula may then be readily healed, generally requiringonly simple dressings. But if it does not heal kindly, apply themild caustic until the callus is removed, and then the edges maybe brought together with adh

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Lectures on the American eclectic system of surgery . opening: or it is bet-ter to let it enter the parotid duct a line or two back of theopening, if practicable. Insert a silver or gold tube from themouth into the duct, so as to guide the saliva into the mouth.The tube should be long enough to pass for an inch into theduct, so that it will not be liable to come out into the mouth. The Fistula may then be readily healed, generally requiringonly simple dressings. But if it does not heal kindly, apply themild caustic until the callus is removed, and then the edges maybe brought together with adh
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Image ID: 2AXHD3D
Lectures on the American eclectic system of surgery . opening: or it is bet-ter to let it enter the parotid duct a line or two back of theopening, if practicable. Insert a silver or gold tube from themouth into the duct, so as to guide the saliva into the mouth.The tube should be long enough to pass for an inch into theduct, so that it will not be liable to come out into the mouth. The Fistula may then be readily healed, generally requiringonly simple dressings. But if it does not heal kindly, apply themild caustic until the callus is removed, and then the edges maybe brought together with adhesive straps and united. Theedges may be scarified and brought together. The Canulashould be left in the duct until all parts are sound and healthy,and then removed. The continual flow of saliva will then prevent any danger ofa closure of the duct. Fistula Lacrymalis. Any obstruction in the ductus ad nasum causing regurgitationor the lubricating fluid upon the eye, or rather its constantaccumulation, and consequent overflow in the shape of tears, is. MECHANICAL AND OTHER MEANS. 285 called by this name, although it only strictly applies to the casewhere there is not only a distension of the lacrymal sac, appear-ing as a tumor at the inner corner of the eye, but where thatSAvelliug has occasioned inflammation and ulceration, with anopening for the tears on thefacw, instead of into the nose. In ordinary cases, the stoppage in the duct occasions butslight inconvenience from suffusion of the eye-ball and obscu-ration of vision. The inflammation, however, occasionally becomes serious andvery painful. Several modes of treatment are recommended by the books. That most commonly adopted is an Fig. 13. operation and the insertion of a style.But, in the majority of cases, an operationis unnecessary—mere medicinal measureswill be quite sufficient. Your first measure, if there be inflam-mation present, is to subdue it by emol-lients. The bitter herb fomentation maybe quite suitable. This s

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