Treatment. — The  treatment  is  both  local  and  constitutional.  The
local  treatment  is  directed  to  securing  free  and  uninterrupted  nasal
breathing  by  the  removal  of  hypertrophies  of  the  middle  and  inferior
turbinates,  spurs,  glandular  hypertrophies  in  the  vault  of  the  pharynx
and  faucial  tonsils.  It  should  be  remembered  that  small  tonsils


DISEASES   OF   THE   NASOPHARYNX.  455

are  frequently  as  great  a  source  of  irritation  as  large  tonsils.  They
should  always  be  explored  for  hidden  pockets  which  contain  debris
and  bacteria  and  in  consequence,  eliminate  a  toxin  particularly
irritating  to  the  mucous  membrane  of  the  naso-pharynx.  The
secretion  which  is  deposited  upon  the  mucous  membrane  of  the  naso-
pharynx can  be  dislodged  by  irrigation  with  a  post-nasal  douche  or
Pynchon  post-nasal  tip  attached  to  a  Davidson  spray.  Following
cleansing,  one  of  the  following  astringents  may  be  applied  with  a
curved  cotton-tipped  probe:

Argyrol  in  fifty  per  cent,  solution,  nitrate  of  silver,  two  to  five
per  cent,  and  chlorid  of  zinc,  two  to  five  per  cent,  solution.
The  following  may  sometimes  be  advantageously  substituted
for  the  above  and  applied  with. a  curved  applicator:

r}     lodini,  .60  gm.  (gr.  x)

Potassi  iodidi,  20.00  gm.  (gr.  xxx)

Glycerini,  30.00  c.c.  (50

An  astringent  application  may  be  followed  by  the  following  oil
spray  to  the  nose,  naso-pharynx  and  oro-pharynx:

1$     Thymol,  .12  gm.  (gr.  ii)

Menthol,  .30  gm.  (gr.  v)

Camphor,  .20  gm.  (gr.  iv)

Acetoform,  .12  gm.  (gr.  ii)

Albolehe,  30.00  c.c.  (3  i)

The  patient  should  be  instructed  to  use  a  mild  antiseptic  and
astringent  spray  in  the  nose  and  naso-pharynx  twice  daily  before
meals.
The  general  treatment  is  directed  to  the  correction  of  any  dyscrasia,
gastro-intestinal  or  pelvic  disorders.
Change  of  climate,  from  a  dry  to  a  moist,  high  to  a  low  altitude
and  vice  versa,  is  sometimes  extremely  beneficial.
