1000000031

be palfed ,hrough ,he ring'

,11em, and earried rOlllld ,he

boJy and neck; or ,hey m,y be hcld by a lig>!ure ruo

through, and fafll!ned

él-

hale cut in a piece of {\ickmg

plaif\er, which i. ' o be laid on eoch

r.dc

of Iht Ol.

O/Ihe

Poe

HU S .

pol}'pus of

[he nofe, is (Aid

3 n

excrerénce of

fldh,

r.,reading its

branches amongll

~he latl':~tC

of the

elhllloid~J,

and through the ",hole

CCivity

uf une or both

Iloítrds.

happens vr:ry often

both fiJes of Ihe oo;e al

once; and in th at cafe is ver)'

lroublt[olne . a!mott

lurf',ea–

ting the

palient,

;\1

lean

making

rcfpirat iOn

vr:.ry

dlfn culr.

j 'ho!

¡nleot of

lhe operation is the

rellloval

of IhlS

ob–

Il acle.

Pol;'pi

aTiCe

fr.om

the membranc fpread upon the

1,1min~

Il'ongiofiL.

preuy nearly in the (ame manner

Ihe

b}':JRlidr

of lhe

abd~"'tn.

in one

kind

dropfy,

fr"m

the

(IlrfClCe

of the liTer

or as fl:tnglloos from the tendoos , borrowing

their coars frofll

produtlion of jls fiores ótnd vefT'ds:

they appear (o(t. and of the colour of the reru m of the

blood, in all I,kdihood . ,hey are (ormed of liteh • ron of

water conn incd in cylls, which, upon breaking che me01brane,

)eaves (o liHle hold for (he in(lrument , thac Lut

(mal! pan

of it ca n

extratled afterwards. T his

p'Jf;'f'tu

is tO be

J!!f[

harden, before the operation be undenaken, which

in procefs of time

gene

rally

will do.

Ihe next degree

of con(j(teoce, chey retain pretty neady (he fa me colour,

and are oflcn p.utly watery, and part ly of a vifcid tt xture,

which (hough nOl tenaClousenough to admit ofdrawing them

out by che rooes, may at fe'feral :ntealpu be caken away by

bits. The next degree

eonfitlence, is that "h¡eh is nej·

ther fo (ofe as

be: rq uezeed to pieces, nor fo hard and

btittle as lO erumble, or adhere to the membrane wlth that

force as nOl tO admit of-reparadon : this lS the motl f:tvour–

able one. The lall, is hard and fc¡rrhous, ad haing fo

tight as tO tear rather than fepara te in rhe txrraEtion, and

fomerinles e\·en tends ro degenerare iOto a cancer

This

' O/yPUI

is very dillieult of cure.

The

pO/yPIIl

rometime. dilates ' o that degree,

00'

onl,.

to ex,end beyond Ihe

palali,

. nd

h.og

over

,he

rr:fopha–

gUJ

and

'''lIch~a:

but aIro rpreading into thefintu

maxi/la.

rÍJ,

exaétly fiUs up egery inler(}ice of the nore, as to ob–

firutl the lower orifice of the

dufluJ (Id nojufn,

and prevent

thedercent of lhe tears, which necelTarily mutl return thro'

the

pun{1a lach,.ymalia;

and Cometif\les they grow fa en·

ormoufIy large. as el'cn to alter lhe fhape of the bones of

,he face.

When Ihe

pO/ypUI

appe.ro

in ,he Ihroat, i, is always atl–

vife~ble

to contrall: it that way; ít lleing found.

expe·

rience, more ready tO 100fen whcn pulled in that direétion,

th. n by Ihe nore. To Ibi. end, i, would be right, before

undertaking the operation, to let your patient líe fupi ne two

ur three, hours, which

wiJl

bring it

flill

fílTlher down¡ for

, he body of Ihe

pO/yplll

doe, nOI univerrally .dhere, and \ViII

by its weigh, Hrelch OUI ,he fibres by whieh il is connee–

ted to Ihe eore

oay, there are ¡nHances, where by a liule

effon, ruch

h.wking, ,hey have drop' quile off.

T he melhod of extralling i, is by a pair of foreeps,

with a Dit at their ext remitie¡ for lhe betler hold, whlch

mutl- be incroduced ilHO (he noOril about an

¡neh

and a

ha)(,

rn..J:e more fure of it lOwards lhe rOOlS ; then

twining them a Jitlle from one (jde tO the orher, you mu(l

continue in ,h.. a(lion, while you pull very gradu.lly ,he

body of lhe

pClyplll.

il break, you mul!

repe~l lhe

ex–

traéhoo as loog as aoy rem:uns, unleCs it is attendcd \Virh a

vlo!t-nt h.rmorrhage, whích

ao accident lhat fomett01es

follows upon the openrion, and feldom fails WhCD the ex ..

crdl:coee is fein húl1s: However,

th"e

Cu rgeoD is not

aL~rrnrd

lhe appcarance of an immoderate c:ffufioo tbe

momt'nt

a(tcr the

,ep~ratior.;

for, generally fpeaking, the

~e{fd s

co.IJ:

.!)f~ vc:~y

loan ¡:¡gain; bUlo If they do

DOt,

dry

IIDI • .or

/1111

dql' '"

fom~

IlYP"ck. \VI/I readdy Ilop il.

ter [he cxtlrpauon,

has becD uCual, in order tOprev.cot

rdapL, lO drtCs with efcharotick. powders, aDd even to

burR w¡th ,he

3(1I1,d

cautery;

but

neither the one or the

orher

C30

be of great fervice

lhis cafe, and boch are p"in ..

fu i and dangerous.

ever the ufe of eorrofive mediciDf"S is

advifeable,

lhould be

(or

dellroying lhe remainder of

P,)lyfUJ

which canuot all be taken away

and tben the e[

charotlcks

m;.¡y

be, bc:uer eonveyed to the

93rt

Jong

teot. than a Ceton parrcd through ,he nofe

aod

moutb, whicn

is di/Jieult 'o do wllhout huning Ihe pa,ien" 'Dd very n.lly

tO bear.

O/Ihe

H UE

Lor.

TH t. di(eare is

6lfure in ,he upper lip, with w'n' of

Cubtldncc:, aod is a nHural defea, che

pd.ti

!!Ol heing

...

Iw~ys

boro with it, at lt:aJI

th~t

Cpeeies of hare· ltp whleh '(quirel

the following operarion. The cure is ro be performed

the t\Vlíled fU lure. T here are many lips" wherc: the lofs

of fu o(taocc is fo grC'lt, that th( edges of tbe 6/Ture e..no!')t

be brougbt logether, or at bell ..here lhe:y

caD

but jutl:

touch. in wnich cafe: it nee:d noc

advifed to forbear cbe

attempl: it is likewife forbidden in ¡nfane, and with rearoa

if they fuck; bUI otherwire it may . be undenaken with

gre" r,fety, .nd even wi,b more prob.bility of fuccer.

than in olhers that are older.

is not uncommon for lhe roof of the rncuth to be

{ir.

Cured likewife

but this is no obje:ll:ioD tO the operation, ir

the fkin of the lip il 100Ce eaough

admit of re union : and

i, may be rem"ked. tha! ,he 6lfure

,he p,la'e, iD lenglh

of ye. r., c10fes furprir.ngly in rome cares.

The m' nner of doing i, is ,his. Yo. nrll wi,h • koife

fepara,e ,he lip froOl Ihe upper

j. w,

by dividiDg ,he/r.-–

lllulufIJ

between ir and the gums; and if the

den/e; inciforii

projcét

as is uf\lal in ¡o(anu, theJ mutl be cut OUI with Ihe

(ame: knife ; lhen with a thiD pair of llraight fci{fars cake

off the ca/lous edges of ,he 6lfure ,he whole lenglh of i"

obfcn-ieg the rule of making the nc\V wouod in tlraight

lines, becaufe lhe. fides of it

CID

never be made to correfpond

witllOUl tbis caurion For ¡enance, ir the Jure lip had the

/h'pe

PI" e

CLVIlI.

6g. ) . ,he

iDeir.on

of ,he cdges muR

be: continued in ltralght Imes tiJl they meel in the manner

reprerented by

ibld . The 'wo !ip. of. ,he wound b<ing

broughl ex.(lly ,ogelher, pars a coupl. of pios, Gne prett,.

near lhe tOP, and lhe Q[heras near lhe bottom, through the

middle of bOlh edges of il, and recure them iD ,h" r.lua–

tion by

l,, ¡fltng

a piece of waxed thread erors and roand

the pios fevta or eight times; you mufi Ihea cut off the

poin", and laya (01.11 bolller of pl.iller undernealh ,hem,

to prevl!'nt their (cratehing : but wheo thé lowe r

part

only

"f the hare lir ca n be brouj!hl ioto conta{l, it will

Dot

proper

ufe more tban one pin o

The rins are m:ule three fourths of their lenglbs or 61f'er,

i1nd tbe other pan towartls lhe poiot of {leel; the fih cr pia

is DO' '1uite fo off, nfivc 'O

wOUDd as

bra(, or Heel one;

bu,