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under cocaine, absolutely painless. The view is, furthermore, unobstructed by bleeding. The hooked knife is introduced through a speculum into the nasal chamber to bo operated upon, passed well behind the posterior extremity of the crust or spur, and, hugging the flattened side of the knife closely to the septum, the growth is removed with neatness and dispatch. A number of blades are necessary to meet the varying conditions found in nasal deformities. The universal handle, fitted with a springdoi:10.1017/s1755146300149728 fatcat:qsaa22eqqndodaljoefbo7y7lu