(PLATE X.) At this stage there is very little danger of the snare cutting through either the capsule of the tonsil or the fascia of the superior constrictor muscle. method of dissection. After the margin of the pillars has been separated as above, I use the curved, or dull dissector or both to further enucleate the tonsil if necessary. (Plate 8, 9 and 10). The above procedure allows the snare wire to draw into the area of clevage between the pillars and the capsule and almost invariably it will follow this course, leaving the pillars intact and keeping outside of the capsule, thus (PLATE XII.) Resecting the left tonsil. Note that the Fellie-Brown is brought over to the left side of the removing the entire tonsil, and of equal impor- plexus of veins. (See Plate 14 and 16). This plexus can readily be seen in nearly every case lying in the floor of the fossa beneath the fascia. (Plate 14) is a reproduction This diagram is reproduced from "Applied Anatomy." By G. G. Davis. Pp. 113, Fig. 142. at a comparatively small point and ordinarily the snare does little cutting if started right until it gets to them. Immediately after the tonsil is removed the assistant inserts the curved Bergeron forcep with a sponge, large enough to tightly fill the tonsillar fossa. This is held in place by the anesthetist while I change to the other side investigation of the pharynx, which can usually be done while the Bergeron forceps are still in place, or the maxillary sinuses may be opened while waiting if indicated. I have seen no method which permits of so little bleeding, and except for bleeding from the adenoid field, very often the only sponging necessary is for mucus. I find a very satis (PLATE XVI.) Exaggerated view of the tonsillar plexus of veins after the tonsil is removed. The anesthetist factory method of lessening hemorrhage from taken out. Some possible objections to this routine. 1. It may appear complicated and to require too much time. It does not, the very routine makes it rapid. In point of time second |