ert specialist, deft in the manipulation of these parts, to
operate properly.

Many styles and shapes of delicately devised instruments are necessary
to completely remove the growth without doing injury to the adjacent
structures. By our newly devised operation the tumor is at once removed,
without pain, and with the loss of only a few drops of blood. Further,
because the tumor is entirely removed and the base properly treated
there is not the offensive discharge for a long time afterward and the
danger from infection and blood-poison to which the patient is subjected
in other forms of treatment.

In conclusion we would say that we claim for our operation the following
points that are worthy of the careful consideration of every one who may
be so unfortunate as to require the services of a specialist for the
removal of growths in the nasal or upper air passages.

1st. Our operation is absolutely painless.

2d. No chloroform or ether is required.

3d. We insure perfect removal of growth.

4th. There is no injury to other adjacent structures.

5th. The operation is bloodless.

6th. The recovery is rapid.

7th. There is no slough to produce pus that may be absorbed and cause
blood-poisoning.

* * * * *

DEFORMITY OF THE NASAL SEPTUM.

In health the nasal septum is a bony or cartilaginous plate, as shown in
_A_, Fig. 14, dividing the nasal passages into two cavities of the same
size and shape. This plate or partition is also a support to which the
flexible structures which form the tip of the nose are attached. In
early life the septum is flexible and may be bent or doubled by injury
to the nose; but owing to its elasticity usually resumes its natural
position and shape. After maturity any dislocation or change in this
bony plate usually remains permanent unless some means are employed for
its correction. In a limited number of cases supposed to be chronic
nasal catarrh, we have found upon examination that one or both nasal
cavities were more or less obliterated and obstructed by the deformed
and thickened septum. (See _A_, Fig. 15.) Many of these cases date from
an injury to the external parts, causing only bleeding from the nose and
a slight pain for a short time. Chronic inflammation develops at the
point where the bone is bent or cracked, resulting in thickening, often
producing nodules or spur-like projections which not only interfere with
nasal breathing, but also