Rault employs /3-naphthol, using a teaspoonful of a solution consisting of i dr. dissolved in i oz. strong alcohol, which he adds to each pint of the alkaline borax wash, and after irrigation he inserts plugs moistened with 12 grs. of the $naphthol, 90 mins. Tincture of Quillaia and water tor oz.
After irrigation the surgeon should occasionally use the speculum and touch lightly any ulcerated spot with a strong antiseptic, as Nitric Acid, Iodised Phenol, Carbolic Acid, Solution of Pernitrate of Mercury, solid Silver Nitrate, or any of the organic Silver preparations, or with the cautery.
Hunter Mackenzie advises the scraping away or curetting of the diseased membrane with the view of its being replaced by new tissue.
Ozxna due to syphilis is not, strictly speaking, to be regarded as an atrophic rhinitis; diseased bone will often be found present. This must be removed by seizing the loose sequestrum by stout forceps and delivering it through the nostril. When this is not practicable Rouge's operation should he performed; this consists in turning up the lip and dividing the mucous membrane and all the tissues above the front teeth by a horizontal incision. After detaching the cartilaginous septum from the anterior
nasal spine, the finger may be passed into the nasal cavity, and by the aid of suitable forceps any diseased structures may be removed along with the sequestrum.
Perchloride of Mercury (I gr. in r pint) should he freely used as an irrigation and Mercury with Iodides freely administered.
Atrophic rhinitis is often associated with a marked degree of anaemia, and Iron is then clearly indicated, and in every case the general health is to be maintained by good food, pure air, tonics, Cod-Liver Oil, Iodides, Arsenic, Quinine, sea-bathing, &c.
Carreras has recently proved that high-frequency currents have a powerful effect upon the diseased membrane, and his results show that when they are employed with other local measures rapid and permanent results are obtainable.
Ionisation has proved successful in many cases. Vaccine therapy has been of undoubted benefit in loosening the crusts and diminishing the factor.