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 |   Related post: proprius pollicis outward, I chisel ofE all the over- prominent portion of the inner side of the head of the metatarsal bone, removing as much bone as is necessary to do away witli all protuberance. Then suture the wound and let it heal under one dressing. Usually the patient can walk about after the first A\eek. In more severe cases, where there is a marked ad- duction as well as lateral dislocation, I remove the head of the metatarsal with a chisel or bone forceps, * Wiener med. Woclumehriff, 1894, No. 49. 2089. t Ccniralblatt fiir Chir., No. 44, October 30, 1886. X Medical Beconl, 1SS9, vol. .\xxvi, p. 253. * Archil' fdr k-Jinische Chirurgie, Bd. xxxvii, tiTT, 1888. Oct. 2, 1897.! BRYAN: TREATMENT OF CHRONIC FRONTAL SINUSITIS. 451 and also cut off the prominent inner side of that bone. To resect the head of tlie metatarsal bone it will be necessary to divide the lateral ligaments and complete- ly dislocate the toe. This can be done with ease and satisfaction through the simple straight incision I have described. It is necessary to remove so much bone that the toe will readily come into place and have no tendency to displacement. If this is not accomplished by the first ablation more bone must be removed. The dressing must be carefully made so as to hold the toe in good position. I always secure the toe by Buy Urispas Online means of pads and Urispas 200mg put a plaster-of-Paris bandage over the entire Urispas 100 Mg dressing. I use catgut sutures, and leave the original dressing on two weeks. I encourage the pa- tient to walk in the third week. For some time the toe will be liable to displacement, and a good result can not be expected imless the after-treatment is carefully carried out. In my experience it is seldom necessary to do this resection of the head of the bone. A thorough removal of the inner " condyle " will cure the majority of cases. The skiagraph will show this to be the case. It will also show that the simple removal Urispas 200 of the end of the bone is not sufficient; there must be a removal of all the overprominent lateral mass. 60 West Fortt-setenih Street. ON THE TREATMENT OF CHRONIC FRONTAL SINUSITIS BY MEANS OF AX OPENING THROUGH THE ANTERIOR WALL OF THE SLNUS, AND DRAINAGE THROUGH THE NOSE* Bt J. H. BRYAN, M. D., WASHINGTON, D. C. In Buy Urispas bringing this subject before the association again it is with the desire of trying to impress still further upon you the frequency of the anomalies that are met with in the fronto-ethmoidal and the fronto-maxillary regions; and also to direct your attention to a method of treating chronic suppurative inflammations of the frontal sinus which seems to shorten very materially the duration of this most obstinate disease. There is prob- ably no Cheap Urispas affection in the whole domain of surgery that tries the patience and skill of the surgeon more than chronic abscesses affecting this cavity, especially when they also involve the ethmoidal region. When we consider the aceorapanpng photographs, the wonder is not that they are so resistant to treatment but that recov- ery ever takes place. With an increased knowledge of the anatomy of these cavities, and the advances that have been made in surgery, the success met with in treating these affections has, it may be said, kept abreast of the surgery of other regions. * Read before the American Laryngologieal Association at its nine- teenth annual congress. Until within recent years suppurating frontal sinusi- tis has been considered to be an uncommon disease in this country, but since the frequent visitations of epidemic influenza the cavity Urispas 200 Mg involved, as well as the other acces- sory sinuses, are found to be very frequently affected. The mortality of this affection is much greater than is generally supposed, owing to the ready extension of Related links: Diltiazem 240 Mg, Purchase Skelaxin, Order Prednisolone, Prazosin Online, Effexor Xr 300 Mg, What Is Ibuprofen 600mg, Moxifloxacin Eye Drop, Buy Terazosin Hydrochloride, Glucophage 850 Mg, Buy Prevacid Online
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