New-York tribune., 1885-01-29
SUCCESSFUL REMOVAL OF A TUMOR
CoCOAINE USED WITH ELECTRICITY.

DR. RICE's DELICATE OPERATION BY GALyANo-
CAUTERY IN THE NASAL PASSAGE
delicate and highly successful operation was re-
Gently performed in this city by DIR. Clarence Z. Ree
q specialist in throat Diseases which demonstrated the
wonderful advance that surgery has made in the las
few years and the peculiar adaptation OF the new an
aesthetic hydrochlorae of cocaine, to of minor
surgery.
The patient middle aged man, has been for many
years teacher in the public schools Of Newark For
the last years he has been troubled with diih
Guilty in the throat which has been variousy diagnosed
by physicians prominent i'll the profession having
pronounced it a of hay fever, and treated 1t as
SUCH without, of course, efecng cure as the rea!
difficulty was of an entirely different character Medi
cine failed to give any relief and the patient gradually
lost flesh and strength until he became alarmed at MS
condition and to this city for advice. Being
seated in q reclining chair in the surgeons office,
powerful light effected from mirror, which was
perforated through the centre into the patients throat
y the aid of arynOgoscOpe (which Is small MIRROR
attached TO handle at nearly right angle placed III
the rear OF the mouth the light was thrown INTO te
nasal passage, and large tumor vas discovered
Its base attached TO the mucous membrane at the
ton of the nasal passage, just to the rear o the TWO
openings leadir into the nose. The tumor mad also
grown forward into the lett nostri anI covered the
0penng into the right that no breath cOuId be taken
through the nose aud the mouth hung wide open nearly
all the time. An operation advised and week
later appointed as the time.
The removal of a tumor of this sort was formerly a
most serious affair and usually ended in death. The
patient first had be ctheri2ed AS preliminary step
the windpipe opened externally and tracheOtomy
tube inserted therein, that tie patient coud Dreabe
through it, after the mouth and throat had been pacAed
firmly withcotton to prevent the blood rom running
into the lungs Then an ineson was mlde llon pom
near the inner of the eye along the se OF he
nose through the upper lip and the check was dseced
M and LAID back from the bone The upper Jaw-Done
was cut through and a section removed suihciently
| lara, ffp m lg
applied to tue root of the tmor aud II was cut OH vi
t6cibv torn out with iorceps The great danger was
from hcmorrhage on account of the large number OF
blood vessels located in thi, regon anu great dhcuIS
was experienced III bmdng aud tying laccfateu drteI-
les i'm the small space exposed to view Surgcs science
has advanced such extent that now, III te Treat
mcnt OF these cases. at least the sutgeons hhiie tue
| etherizing cone, and the dread .hat Affected DotA
| patient and surgeon alike are happily iaid aSiue
| forever. A..
The school teacher came again to the surgeons ONCE
and was placed in operating chair ana ms hedd was
pressed far backward rs ease ana comfort woul'
| permit The mucous membrane oil the mod'h throat,
t,u,tIc uostrs and rear nasal passage was paintcd
with 4 small camcls hir brI,h. that had Deeh satu
rated in percent solution ol iis hyuro-cuor''o "
cocoane his was keI up ioc about ten minutes ana
the parts were found tO bc IN state OF perfect ahhs
| thesa An elastic probe, TO the esd oi whicn was
| fastened a piece of whip cord, WAS gently iorccd
through the elt nOstr until II appeared III the tlIoa
The cord then seized with apairo nieepaia ra"l
through the mnuir, one enc being icit suspended nou
the nose. To this end hne piece OF platinum VII
| bent I'm tie form of loop was attached, ahd Slowly
Jr,y through the no,trl until Il seen Gstening
ia thr pstieut throat The tumOT was then drawn a.
far INTO the mouth possible and tue patlnuin loop
was forced upward around IT, being phIled n,oHSn t.
njStul at the time. until IT reached the polh'
where the tumor suspended. That portion ol ue
wire which from the ,umOr through tue nose Was
insulated with small tubes that hdd Deen hea' ~
wound with silk thread that he Only portion ol
that was exposed was that which touched the tumor
The two ends of the wire which hung about SIX inches
from the no,tril. were then attached to a pecuIiuy
con n,tructrd handle tlat WAS coupled to gdlNahocdl'
t,ry battery. b turning wheel and rachet dtIdch-
ment the platinum loop was drawn uShIy around th'
! neck ot the tumor.
Everything bsng in readiness, an electric current
! aIs sent through the wire. In an instant the uhih-
,li,trd section came white hot and smoke from the
| burning he>h poured out of the modth Inc catt'u'
wa. hut oil IN five seconds and after waiting uullt tue
wire cooled little the wheel aad ratchet were N"fhel
ana th. loop wa, drawn through the baked hesh uni
ne patient Indicate, pain by Contracting the forehead
The process, Of heating cooling and tightening th' ooi
was repeated and continued. until finally by Pu'llh2
Gently uuun plIr Of turctps which a" a pccdutl'u
had been fastened the tunpT through the mouth u
prevent It from falling into the wlndppe the meek 81
In, tuuor wa, severed close the point OF unl0n. Y
VIZ. prar.shlped two inches long and one and a hal
inches III diameter. Five minutes n4d e'|'eI rom 'l'
tim, the electric current wa turned on 10 the emu o.
! th. oueratun Not drop OF blood escaped - ,
The reliei of the patient immediate. Ills mouti
closed naturally ana for the first time III many ohh
he WAS able to breathe through the nose. mere wa
! Tttlc exhaustion from shock and IN two hours the
| parlent wa, on hts way home. Three days ateF"at'
| he was attending to hs duties, a well man.
The removal of naso- -pharyngca tumlrS by the ga!
valo-cautery has been done but few tines ana tui
Gaze s tie first of the kind IN which coeoahe was Ise'
Instead of ether "a an auaesthec. II did IT'S work
well the ether could possibly baNeH"he adu "i'"'
| thodistresSing after ELECTS