There is one condition that I think is often overlooked or neglected in hypertrophic rhinitis. I refer to the enlargement of the posterior end of the lower turbinals. In m,y experience this raspberry-appearing enlargement is one of the most frequent accompaniments of hypertrophic catarrh. The quickest and surest way to reduce it is to slowly amputate with the cold snare.
In cases combined with sneezing do not fail to treat this portion of the lower turbinal, and septum directly opposite.
In regard to the means of cauterizing, I find nothing that gives the pleasure and satisfaction of the galvano-cautery. Acids I seldom resort to, except acetic on the septum. The fumes of chromic, in fact of all acids, are too penetrating. There is another condition frequently existing in chronic rhinitis that causes much discomfort. I refer to hard pieces of mucus attached to the vault of the pharynx. The remedy is the post-nasal douche; sprays usually have no effect. Finally, do no forget local cleanliness.
